Awake craniotomy for glioma resection in a resource-poor institution.
DOI:
https://doi.org/10.30445/rear.v15i3.1079Keywords:
awake craniotomy, low-grade glioma, cortical and subcortical stimulation, supraglottic deviceAbstract
Objective
The aim of this study is to present a case of intracranial surgery in a 46-year-old male patient for the removal of a low-grade glioma located in the right frontotemporo-insular region with the patient awake during the procedure. In this case the asleep-awake-awake anesthetic technique was used, securing the airway with supraglottic device.
Materials and Methods.
A review of the literature was performed in databases such as UpToDate, PubMed and ScienceDirect.
Discussion
Awake surgery, complemented with intraoperative cortical and subcortical stimulation, has been shown to improve the degree of tumor resection and decrease morbidity. However, despite its efficacy and safety, it is used in less than 22% of glioma surgeries, particularly in middle/low-income countries.
Conclusion
Awake craniectomy is a feasible procedure to perform in resource-poor countries with promising results, low incidence of complications and technical failures.
References
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