The Awake Craniotomy: A Patient’s Experience and A Literature Review

We present a case report and a literature review of the awake craniotomy procedure for mass resection, with emphasis on the historical aspects, anatomical and surgical considerations, and, uniquely, a patient’s experience undergoing this procedure. This procedure is a safe and effective method for l...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-06, Vol.14 (6)
Main Authors: Patchana, Tye, Lopez, Jose A, Majeed, Gohar, Ho, Alison, Alarcon, Tony, Plantak, Natasha, Vu, Peter, Siddiqi, Javed
Format: Article
Language:English
Subjects:
Medical Education
Neurosurgery
Psychology
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Summary:We present a case report and a literature review of the awake craniotomy procedure for mass resection, with emphasis on the historical aspects, anatomical and surgical considerations, and, uniquely, a patient’s experience undergoing this procedure. This procedure is a safe and effective method for lesion resection when working in and around eloquent brain. We have described our process of guiding a patient through an awake craniotomy procedure and detailed the patient's experience in this study. We also conducted a systematic literature review of studies involving awake craniotomy over three years, 2018-2021. Lastly, we compared the methodology used by our institution and the current mostly used methods within the neurosurgical community. Several studies were identified using PubMed and Google Scholar. Awake craniotomy is a safe and effective method of achieving a high rate of resection of lesions located in and around the eloquent cortex with a low degree of postoperative neurological deficit.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.26441