Neurosurgical pathologies presenting during pregnancy are uncommon. If present, the situation creates a unique diagnostic, observational, and therapeutic challenge as both lives are placed at potential risk. Surgical procedures during pregnancy are approached carefully as physiological stressors associated with surgery and anesthesia may cause fetal or maternal compromise. We present the only k...

These guidelines are approved by The Japan Neurosurgical Society. The part on anesthetic management is approved by the Japan Society of Anesthesiology and the part on language assessment during awake craniotomy is approved by the Neuropsychology Association of Japan. Copyright of this English version of the Guidelines is reserved by The Japan Neurosurgical Society. Correspondence to: Takamasa K...

Indeed, when dealing with brain lesions located in functional areas, such as sensorimotor, language or vision, neurosurgeons aim at removing the maximum amount of lesion minimizing the risk of producing neurological deficits so as to avoid impairing patient’s quality of life. As a matter of fact, in the span of a few millimetres around the margin of the resection, as well as within the lesion t...

Awake craniotomy is a brain surgery performed on awake patients and is indicated for certain intracranial pathologies. These include procedures that require an awake patient for electrocorticographic mapping or precise electrophysiological recordings, resection of lesions located close to or in the motor and speech of the brain, or minor intracranial procedures that aim to avoid general anaesth...

BACKGROUND There is an increasing trend towards performing craniotomy awake. The challenge for the anaesthetist is to provide adequate analgesia and sedation, haemodynamic stability, and a safe airway, with an awake, cooperative patient for neurological testing. METHODS The records of all patients who had awake craniotomy at our institution were reviewed. Patients were divided into three grou...

OBJECTIVE To compare awake craniotomy using conscious sedation technique versus conventional general anesthesia (GA) for excision of low-grade glioma encroaching on eloquent brain. METHODS This prospective study included 40 patients ASA classification 1 and 2, aged 23-55 years, harboring low-grade glioma encroaching on eloquent brain. The study was carried out in the Neurosurgical Theatre in ...