scholarly journals Comparison of the Awake Craniotomy Method with Craniotomy Under General Anesthesia for Approach to Elequent Areas in Stereotactic Guidance

2019 ◽  
Vol 1 (1) ◽  
pp. 5-11
Author(s):  
Baris Ozoner ◽  
◽  
Osman Turkmenoglu ◽  
Songul Meltem Can ◽  
Saime Ayca Sahin ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Awake Craniotomy ◽  
Stereotactic Guidance

Awake Craniotomy vs Craniotomy Under General Anesthesia for Perirolandic Gliomas: Evaluating Perioperative Complications and Extent of Resection

Neurosurgery ◽  
2017 ◽  
Vol 81 (3) ◽  
pp. 481-489 ◽  
Author(s):  
Chikezie I. Eseonu ◽  
Jordina Rincon-Torroella ◽  
Karim ReFaey ◽  
Young M. Lee ◽  
Jasvinder Nangiana ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Perioperative Complications ◽  
Extent Of Resection ◽  
Awake Craniotomy

scholarly journals Surgical Resection of Gliomas in Motor Cortex: Prognostic Analysis in Awake Craniotomy and General Anesthesia Approaches

2018 ◽  
Author(s):  
Paulo de Aguiar ◽  
Bruno Camporeze ◽  
Chiara Caggiano ◽  
Stephanie Bologna ◽  
Cassiano Marchi ◽  
...  
Keyword(s):  
Motor Cortex ◽  
General Anesthesia ◽  
Surgical Resection ◽  
Awake Craniotomy ◽  
Prognostic Analysis

Awake craniotomy versus craniotomy under general anesthesia without surgery adjuncts for supratentorial glioblastoma in eloquent areas: a retrospective matched case-control study

2019 ◽  
Vol 161 (2) ◽  
pp. 307-315 ◽  
Author(s):  
Jasper Kees Wim Gerritsen ◽  
Charlotte Lauren Viëtor ◽  
Dimitris Rizopoulos ◽  
Joost Willem Schouten ◽  
Markus Klimek ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Case Control Study ◽  
Case Control ◽  
Awake Craniotomy ◽  
Eloquent Areas ◽  
Matched Case ◽  
Matched Case Control Study ◽  
Control Study

scholarly journals Awake Craniotomy vs Craniotomy Under General Anesthesia for Eloquent Glioma: Postoperative General Functional Preservation

2019 ◽  
Author(s):  
Ying-Ching Li ◽  
Hsiao-Yean Chiu ◽  
Ya-Jui Lin ◽  
Ko-Ting Chen ◽  
Peng-Wei Hsu ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Functional Status ◽  
Karnofsky Performance Status ◽  
Performance Status ◽  
Eastern Cooperative Oncology Group ◽  
Tumor Resection ◽  
Awake Craniotomy ◽  
Newly Diagnosed ◽  
Eloquent Cortex ◽  
Functional Preservation

Abstract Background Awake craniotomy (AC) with intraoperative stimulation mapping is the standard treatment for glioma, especially when present on the eloquent cortex. The purpose of this study was to investigate whether functional preservation after AC compromises patient survival as compared with craniotomy under general anesthesia (GA). Methods The medical records of 339 patients who underwent tumor resection surgery for gliomas from January 2010 to December 2014 were retrospectively reviewed. Among these patients, 62 underwent AC with intraoperative stimulation mapping. The primary outcome was the Eastern cooperative oncology group (ECOG) performance score at 3 months postoperatively. Secondary outcomes were the progression-free survival (PFS) and overall survival (OS). A generalized linear model and the Cox proportional hazard model were used to evaluate potential factors influencing general functional status and progression-free survival.Results The newly-diagnosed disease AC and repeat-surgery groups were comparable in terms of sex, age, pathologic grade, extent of resection (EOR) and preoperative Karnofsky Performance Status (KPS). Among the patients with newly-diagnosed disease, the postoperative ECOG score of the AC group was significantly better than that of the GA group. Pathologic grade and the EOR determined the PFS and OS in both the AC and GA groups.Conclusion AC with intraoperative stimulation mapping is safe and allows maximal removal of lesions around the eloquent cortex. Greater preservation of neurologic function may have resulted in a better postoperative general functional status in the AC group.

Awake Craniotomy vs Surgery Under General Anesthesia for Resection of Supratentorial Lesions4

Neurosurgery ◽  
2011 ◽  
Vol 68 (5) ◽  
pp. 1192-1199 ◽  
Author(s):  
Oumar Sacko ◽  
Valérie Lauwers-Cances ◽  
David Brauge ◽  
Musa Sesay ◽  
Adam Brenner ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Brain Mapping ◽  
Neurological Outcome ◽  
Neurological Complication ◽  
Awake Craniotomy ◽  
Neurological Deficits ◽  
Complication Rates ◽  
Eloquent Areas ◽  
Duration Of Surgery

Abstract BACKGROUND: The use of an awake craniotomy in the treatment of supratentorial lesions is a challenge for both patients and staff in the operation theater. OBJECT: To assess the safety and effectiveness of an awake craniotomy with brain mapping in comparison with a craniotomy performed under general anesthesia. METHODS: We prospectively compared 2 groups of patients who underwent surgery for supratentorial lesions: those in whom an awake craniotomy with intraoperative brain mapping was used (AC group, n = 214) and those in whom surgery was performed under general anesthesia (GA group, n = 361, including 72 patients with lesions in eloquent areas). The AC group included lesions in close proximity to the eloquent cortex that were surgically treated on an elective basis. RESULTS: Globally, the 2 groups were comparable in terms of sex, age, American Society of Anesthesiologists score, pathology, size of lesions, quality of resection, duration of surgery, and neurological outcome, and different in tumor location and preoperative neurological deficits (higher in the AC group). However, specific data analysis of patients with lesions in eloquent areas revealed a significantly better neurological outcome and quality of resection (P < .001) in the AC group than the subgroup of GA patients with lesions in eloquent areas. Surgery was uneventful in AC patients and they were discharged home sooner. CONCLUSION: AC with brain mapping is safe and allows maximal removal of lesions close to functional areas with low neurological complication rates. It provides an excellent alternative to craniotomy under GA.

Prospective study of awake craniotomy used routinely and nonselectively for supratentorial tumors

2007 ◽  
Vol 107 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Demitre Serletis ◽  
Mark Bernstein
Keyword(s):  
General Anesthesia ◽  
Brain Mapping ◽  
Tumor Resection ◽  
Tumor Location ◽  
Awake Craniotomy ◽  
Neurological Deficits ◽  
Wound Complications ◽  
Presenting Symptoms ◽  
Eloquent Cortex ◽  
Supratentorial Tumors

Object The authors prospectively assessed the value of awake craniotomy used nonselectively in patients undergoing resection of supratentorial tumors. Methods The demographic features, presenting symptoms, tumor location, histological diagnosis, outcomes, and complications were documented for 610 patients who underwent awake craniotomy for supratentorial tumor resection. Intraoperative brain mapping was used in 511 cases (83.8%). Mapping identified eloquent cortex in 115 patients (22.5%) and no eloquent cortex in 396 patients (77.5%). Results Neurological deficits occurred in 89 patients (14.6%). In the subset of 511 patients in whom brain mapping was performed, 78 (15.3%) experienced postoperative neurological worsening. This phenomenon was more common in patients with preoperative neurological deficits or in those individuals in whom mapping successfully identified eloquent tissue. Twenty-five (4.9%) of the 511 patients suffered intraoperative seizures, and two of these individuals required intubation and induction of general anesthesia after generalized seizures occurred. Four (0.7%) of the 610 patients developed wound complications. Postoperative hematomas developed in seven patients (1.1%), four of whom urgently required a repeated craniotomy to allow evacuation of the clot. Two patients (0.3%) required readmission to the hospital soon after being discharged. There were three deaths (0.5%). Conclusions Awake craniotomy is safe, practical, and effective during resection of supratentorial lesions of diverse pathological range and location. It allows for intraoperative brain mapping that helps identify and protect functional cortex. It also avoids the complications inherent in the induction of general anesthesia. Awake craniotomy provides an excellent alternative to surgery of supratentorial brain lesions in patients in whom general anesthesia has been induced.

Sign in / Sign up

Export Citation Format

Share Document