Awake brain surgery in epilepsy: a case report and review of the literature

Awake craniotomy is a frequent procedure in the practice of neurosurgery. In functional neurosurgery, this anesthetic technique has been described for Deep-Brain- Stimulators (DBS) placement Parkinson’s disease and tumor resection eloquent areas. We describe case transoperative identification epileptogenic foci with successful real-time resection. A 26-year-old patient who presented to our emergency room seizures difficult control despite three-drug scheme. Brain image was performed that showed evidence left temporal lobe glioma. Due situation tumor, under Awake-Sleep-Awake (AAA) performed. Conclusion: very well stablished neurological increasing frequency indications. Profound knowledge perioperative management key anesthesiologist successfully perform intricate managing sleep awake periods, as all its potential complications. allows precise resection, having positive impact short- long-term quality life these patients.