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Awake Craniotomy: First-Year Experiences and Patient Perception.

Holger Joswig1, Denis Bratelj1, Thomas Brunner2

  • 1Department of Neurosurgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.

World Neurosurgery
|February 23, 2016
PubMed
Summary

Awake craniotomy is feasible in non-university neurosurgery departments, offering safe brain lesion resection with good patient outcomes. This technique minimizes permanent neurologic deficits and enhances patient satisfaction.

Keywords:
Awake craniotomyBrain tumorCavernomaFunctional mappingGliomaMetastasis

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Area of Science:

  • Neurosurgery
  • Neurology
  • Oncology

Background:

  • Awake craniotomy allows intraoperative assessment of neurologic function near eloquent brain regions.
  • This technique reduces the risk of permanent neurologic deficits and increases tumor resection extent.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of introducing awake craniotomy in a tertiary non-university-affiliated neurosurgery department.
  • To assess operation times, complications, neurologic outcomes, and patient perceptions.

Main Methods:

  • Retrospective review of consecutive awake craniotomy cases over one year.
  • Assessment of operation time, complications, and neurologic outcomes.
  • Patient perception surveyed via mailed questionnaire.

Main Results:

  • 24 awake craniotomies performed in 22 patients for various brain lesions.
  • Mean operation time was 205 minutes; 2 cases failed due to seizures or cooperation issues.
  • 29% experienced transient deficits, 1 permanent deficit; 82% reported high satisfaction with minimal fear.

Conclusions:

  • Introducing awake craniotomy to a non-university neurosurgery department is feasible.
  • The procedure demonstrated reasonable operation times and complication rates.
  • High patient satisfaction was achieved with this technique.