Background As pregnancy accelerates glioma growth, therapeutic abortion has been recommended prior to tumor resection. Additionally, it has also been suggested that the extent of glioma resection is closely correlated with patient survival. Case presentation A 162-cm, 61.4-kg, 30-year-old, right-handed primigravida was referred to our institution at 21 weeks gestation to obtain a second opini...

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BACKGROUND Awake craniotomy (AC) renders an expanded role in functional neurosurgery. Yet, evidence for optimal anaesthesia management remains limited. We aimed to summarise the latest clinical evidence of AC anaesthesia management and explore the relationship of AC failures on the used anaesthesia techniques. METHODS Two authors performed independently a systematic search of English articles...

BACKGROUND AND OBJECTIVES Tumor resections in the speech areas of the brain are more safely done using cognitive tests to determine their exact location. Patients must be awake, comfortable, and cooperative for the precise identification of the areas to be preserved. The objective of this report is to present a surgical procedure done with the patient awake, without endotracheal intubation, usi...

INTRODUCTION “Awake” craniotomy with multiple marginal biopsies was used to resect 154 presumed low-grade brain tumors. Intraoperative neurological deficits were more likely to be permanent (47.1%) than those detected postoperatively (12.5%). The permanent, significant neurological deficit rate was 6.5%. The survival rate for Grade 2 lesions was 65.1% (43 patients) at 10 years and 85.9% (71 pat...

INTRODUCTION Awake craniotomy permits the continuous assessment of intraoperative neurological functions. In addition, stereotactic laser guidance aids in performing minimally invasive procedures related to the radical resection of lesions located in eloquent and non-eloquent brain regions. METHODS Between May 2000 and October 2006, 117 consecutive patients with various intracranial tumoral l...