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International Journal of Neurology and Neurosurgery

Volume  11, Issue 2, April-June 2019, Pages 123-130
 

Original Article

Awake Craniotomy: An Institutional Experience

Saranyan R.1, Raghavendran R.2

1Assistant Professor 2Professor, Dept. of Neurosurgery, Institute of Neurosurgery, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai, Tamil Nadu 600003, India

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DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.11219.3

Abstract

Awake Craniotomy is a Neurosurgical procedure that allows a surgeon to operate brain tumour while the patient is awake inorder preserve eloquent cerebral cortex. Surgery is done in the same way as the conventional craniotomy. This procedure is done with the aid of intra operative monitoring. This procedure is done for the patients who have space occupying lesions in the eloquent areas, mostly commonly speech and motor area. This study was done at The Institute of Neurosurgery, Rajiv Gandhi Government General Hospital and Madras Medical College, Chennai. For a group of patients who had tumours in the temporal and frontal lobes. All these patients were intra-operatively monitored during the procedure. The outcome of these patients re-emphasised the efficacy of this procedure in preventing significant morbidity due to the involvement of the eloquent cortex. This study helps us to prove that, awake craniotomy with intra operative monitoring is helpful in patients with tumour in eloquent areas. It reduces post-operative morbidity in patients.

Keywords: Awake; Craniotomy; Eloquent; Frontal lobe; Temporal lobe.


Corresponding Author : Raghavendran R.