Awake craniotomy for clipping of unruptured aneurysm: anesthesia concerns, management and challenges

Awake craniotomy is a neurosurgical technique performed either as an asleep-awake-asleep or monitored anesthesia care technique, in combination with scalp block. The surgery indication has been well documented for brain tumor excision at the eloquent cortex, epilepsy and deep stimulation surgery. However, this technique’s use during unruptured cerebral aneurysm clipping only recently reported. main goal of awake to prevent risk ischemia temporary permanent by immediate neurological assessment There have limited reports on surgery’s issues. aim our case report discuss concerns, management challenges first successful experience surgery.
 Key words: craniotomy; Clipping; Cerebral aneurysm; Scalp block
 Citation: Hassan WMNW, Omar SC, Fui WT, Idris Z, Kandasamy R. aneurysm: challenges. Anaesth. pain intensive 2021;25(1):96-101;
 DOI: 10.35975/apic.v25i1.1436
 Received: 2 July 2020, Reviewed: 10 August Accepted: 3 September 2020