Awake craniotomy does not lead to increased psychological complaints

Area of Science:

• Neurosurgery
• Neuropsychology
• Oncology

Background:

• Awake craniotomy is a common technique for brain tumor treatment.
• Patients may experience anxiety during conscious brain surgery.
• Limited research exists on psychological impact, with prior studies suggesting low rates of psychological complaints and post-traumatic stress disorders (PTSD).

Purpose of the Study:

• To investigate the prevalence of anxiety, depressive, and post-traumatic stress complaints in patients undergoing awake craniotomy.
• To assess psychological changes at pre-operative, 4-week, and 3-month post-operative time points.

Main Methods:

• 62 adult patients undergoing awake craniotomy completed validated questionnaires.
• Cognitive monitoring and clinical neuropsychologist coaching were provided during surgery.
• Psychological complaints were assessed pre-operatively and at 4 weeks and 3 months post-operatively.

Main Results:

• Pre-operative anxiety was reported by 21% of patients, with similar rates at 4 weeks (19%) and 3 months (24%).
• Depressive complaints were reported by 17% pre-operatively, 15% at 4 weeks, and 24% at 3 months.
• Post-operative psychological complaints did not increase at the group level compared to pre-operative levels; PTSD-related complaints were rare and often linked to tumor diagnosis rather than the surgery itself.

Conclusions:

• Awake craniotomy is not associated with increased psychological complaints.
• Psychological distress may stem from other factors, such as tumor discovery and diagnosis.
• Continued monitoring of patient mental well-being and provision of psychological support are crucial.