BACKGROUND AND OBJECTIVES The conscious patient cooperation during neurological procedures has become necessary for the delimitation of areas to be managed by a neurosurgeon, with better results in the treatment of tumor lesions, vascular or epileptic foci, and lesser sequelae. The need for perioperative awareness (responsiveness to commands) challenges anesthesiologists to further ensure patie...

OBJECTIVE This paper reports the use of dexmedetomidine in three epileptic patients with cavernous angiomas that underwent awake surgery in order to map their speech areas. METHOD Loading dose of dexmedetomidine varied from 1 microg/Kg/h to 3 microg/Kg/h over 20 minutes and maintenance dose from 0.4 microg/Kg/h to 0.8 microg/Kg/h. RESULTS There was no occurrence of hemodynamic instability, ...

Abstract AIMS This study aimed to describe our institutional use of a commercially available mixed reality viewer within multi-disciplinary planning workflow for awake craniotomy surgery and report an assessment its usability. METHOD Three Tesla MRI scans, including 32-direction diffusion tensor sequences, were reconstructed with BrainLab Elements auto-segmentation software. Magic Leap headsets...

Abstract AIMS An Awake Craniotomy is a neuro-surgical procedure where the patient remains awake for all or part of their surgery to allow lesion be maximally resected without damaging healthy brain functioning. annual audit our Patient Satisfaction Survey demonstrated that ‘Receiving Written Information’ was scoring below standard. A new leaflet designed address this and it developed into ‘Vide...