Awake surgery for a deaf patient using sign language: A case report

Area of Science:

• Neurosurgery
• Neuro-oncology
• Audiology

Background:

• Awake surgery is standard for brain tumors in critical areas.
• Patients with hearing impairment present unique challenges during intraoperative procedures.
• Effective communication strategies are vital for patient safety during awake craniotomy.

Observation:

• A 45-year-old male with hearing impairment underwent awake surgery for a left frontal lobe tumor.
• Sign language was used to facilitate communication during brain mapping and tumor resection.
• The patient, despite hearing impairment, could vocally respond to tasks.
• Intraoperative mapping and tumor resection proceeded without complications.

Findings:

• Successful gross total resection of a World Health Organization grade II oligodendroglioma was achieved.
• Sign language-assisted communication enabled smooth intraoperative tasks.
• No speech arrest or comprehension issues occurred during electrical stimulation.

Implications:

• Awake surgery is feasible and safe for hearing-impaired patients with appropriate communication adaptations.
• Sign language can be an effective tool for intraoperative communication in neurosurgery.
• Tailoring communication methods to individual patient needs ensures successful outcomes in awake brain surgery.