Eyes wide open: the awake craniotomy for tumour resection: a review.
نویسنده
چکیده
The awake craniotomy procedure has become the gold standard for tumour resection in eligible patients. In this paper, the awake craniotomy procedure is reviewed, including the advantages of the procedure over the standard craniotomy procedure. The role of the neuroscience nurse in awake craniotomies is highlighted.
منابع مشابه
Initial Experience with Brain Mapping under Awake Craniotomy for Resection of Insular Gliomas of the Dominant Hemisphere
Background & Importance: Insular lobe is located at the depth of sylvian fissure and is hidden by frontal, temporal and parietal lobes in close vicinity of internal capsule and basal ganglia and adjacent to the speech centers in the dominant hemisphere. Thus, radical resection of insular gliomas can be even more difficult. Brain mapping techniques can be used to maximize the extent of...
متن کاملAnesthetic care during awake craniotomy in a pediatric patients
Cortical mapping has demonstrated a wide variability in the location of areas controlling speech, memory, motor and sensory function. These regions of the cortex, often referred to as eloquent cortex, can be near areas of epileptic foci or pathologic lesions, making the surgical resection of these lesions difficult. Optimal assessment of eloquent cortex function during a craniotomy often requir...
متن کاملAwake craniotomy under local anaesthesia and monitored conscious sedation for resection of brain tumours in eloquent cortex--outcomes in 20 patients.
INTRODUCTION Resection or even biopsy of an intra-axial mass lesion in close relationship to eloquent cortex carries a major risk of neurological deficit. We review the safety and effectiveness of craniotomy under local anaesthesia and monitored conscious sedation for resection of mass lesions involving eloquent cortex. MATERIALS AND METHODS We performed a 3-year retrospective review of patie...
متن کاملAnaesthetic management of awake craniotomy for tumour resection.
INTRODUCTION Awake craniotomy allows accurate localisation of the eloquent brain, which is crucial during brain tumour resection in order to minimise risk of neurologic injury. The role of the anaesthesiologist is to provide adequate analgesia and sedation while maintaining ventilation and haemodynamic stability in an awake patient who needs to be cooperative during neurological testing. We rev...
متن کاملAwake craniotomy and electrophysiological mapping for eloquent area tumours.
OBJECTIVE An awake craniotomy facilitates radical excision of eloquent area gliomas and ensures neural integrity during the excision. The study describes our experience with 67 consecutive awake craniotomies for the excision of such tumours. METHODS Sixty-seven patients with gliomas in or adjacent to eloquent areas were included in this study. The patient was awake during the procedure and in...
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ورودعنوان ژورنال:
- Axone
دوره 28 1 شماره
صفحات -
تاریخ انتشار 2006