Awake craniotomy is becoming more popular as a neurosurgical technique that allows for increased tumor resection and decreased postoperative neurologic morbidity. This technique, however, presents many challenges to both the neurosurgeon and anesthetist. An ASA class II, 37-year-old man with recurrent oligodendroglioma presented for repeated craniotomy. Prior craniotomy under general anesthesia...

Background: Given the popularity of pterional craniotomy, numerous modifications have been made to prevent postoperative deformities. With advent titanium plates, fixation has become both simple and excellent. However, plates can cause skin problems, infection, or skull growth fail. Methods: To develop a simple, cost-effective, esthetically satisfactory method, without use non-metallic material...

The frontotemporosphenoidal craniotomy, usually denominated pterional craniotomy, was first described by Yasargil in 1975 and is one of the earliest landmarks of the advents of microneurosurgery1-3. This approach enables, specifically, the exposure of the entire frontoparietal operculum4,5, the opening of the entire sylvian fissure6,7 and all anterior cisterns of the encephalon base2,5, which m...

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 tumor rem...

BACKGROUND Intraoperative intravascular volume expansion with hydroxyethyl starch-based colloids is thought to be associated with an increased risk of post-craniotomy hemorrhage. Evidence for this association is limited. Associations between resuscitation with hydroxyethyl starch and risk of repeat craniotomy for hematoma evacuation were examined. METHODS Using a retrospective cohort of neuro...

Intracranial infection is a common clinical complication after craniotomy. We aimed to explore the diagnostic and prognostic value of dynamic changing procalcitonin (PCT) in early intracranial infection after craniotomy. A prospective study was performed on 93 patients suspected of intracranial infection after craniotomy. Routine peripheral venous blood was collected on the day of admission, an...