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A Craniotomy Surgery Procedure for Chronic Brain Imaging
Published on: February 15, 2008
Awake Craniotomy for Tumour Excision
K Prabhakaran1, Cvr Mohan2, P C Tripathy3
1Classified Specialist (Anaesthesia and Neuroanaesthesia), 166 Military Hospital, C/o 56 APO.
Medical Journal, Armed Forces India
|October 1, 2016
Summary
Awake craniotomy using skull blocks with sedation and analgesia is a successful technique for brain tumor removal near eloquent areas. This method ensures patient cooperation and avoids neurological deficits.
Area of Science:
- Neurosurgery
- Anesthesiology
Background:
- Craniotomy for tumors near eloquent brain areas risks neurological deficits.
- Awake surgery is a technique to mitigate this risk.
Purpose of the Study:
- To evaluate the efficacy and safety of awake craniotomy using skull blocks with sedation and analgesia.
Main Methods:
- Eight patients with intracranial space-occupying lesions underwent awake craniotomy.
- Procedures involved skull blocks with local anesthetics (bupivacaine, lignocaine) and conscious sedation (midazolam, fentanyl, propofol).
Main Results:
- The awake craniotomy procedure was successful in all patients.
- Patients tolerated the surgery well and followed commands during the operation.
- No significant complications were reported.
Conclusions:
- Awake craniotomy with skull blocks, sedation, and analgesia is an established and effective procedure.
- Successful outcomes depend on strong collaboration between the surgical team and the patient.
