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A Craniotomy Surgery Procedure for Chronic Brain Imaging

A Craniotomy Surgery Procedure for Chronic Brain Imaging

Published on: February 15, 2008

Pediatric Awake Craniotomy: An Educational Review.

Maria Nabil Henry^1,2, Maryam N Shahin³, Ian Stevens³

¹Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.

Paediatric Anaesthesia

|February 2, 2025

Summary

Awake craniotomies are safe for pediatric patients when carefully selected and planned. This approach, involving multidisciplinary teams, minimizes deficits from brain lesion resection near critical areas.

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Area of Science:

Neurosurgery
Anesthesiology
Pediatric Medicine

Background:

Awake craniotomies with functional cortical mapping are used to reduce post-operative deficits in adults and selected pediatric patients.
Common anesthetic techniques involve "asleep-awake-asleep" protocols using propofol, remifentanil, or fentanyl.

Purpose of the Study:

To review the unique challenges of awake craniotomies in pediatric patients.
To present a case study illustrating multidisciplinary care for a pediatric patient undergoing this procedure.

Main Methods:

Educational review of literature.
Case presentation of a 9-year-old boy with a peri-rolandic ependymoma.
Discussion of pre-operative, intra-operative, and post-operative care.

Main Results:

Awake craniotomies are increasingly applied to well-selected pediatric patients.
Multidisciplinary care is crucial for successful outcomes.
The case illustrates effective management strategies.

Conclusions:

Awake craniotomies can be performed safely in pediatric patients.
Appropriate patient selection, meticulous planning, and a multidisciplinary approach are essential for success.