Anesthesia for awake craniotomy: a case report.
anesthesia
brain
complication
maintenance
seizures
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
21
08
2023
accepted:
29
08
2023
medline:
19
9
2023
pubmed:
19
9
2023
entrez:
19
9
2023
Statut:
epublish
Résumé
Awake craniotomy (AC) is a neurosurgical technique that enables the precise localization of functional neural networks through intraoperative brain mapping and real-time monitoring. This operative method has been popularized in recent years due to decreased postoperative morbidities. We present a case of 31-year-old female who was presented with episodes of generalized tonic colonic seizures. She had a history of recurring seizures. Upon further investigations, she was diagnosed with brain space-occupying lesions initially suspected as low-grade glioma. Considering the lesion site, the patient was deemed a suitable candidate for an AC. To achieve conscious sedation, the patient received infusions of remifentanil and propofol at varying rates. During the procedure, the patient was under sedation and was regularly tested for response to predetermined commands. The tumor was successfully excised by using a combination of local anesthesia on the scalp and by the administration of propofol and boluses through a systemic infusion.
Identifiants
pubmed: 37724066
doi: 10.1093/jscr/rjad521
pii: rjad521
pmc: PMC10505513
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjad521Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.
Déclaration de conflit d'intérêts
None declared.
Références
Prog Neurol Surg. 2018;30:117-158
pubmed: 29241172
Int J Lang Commun Disord. 2020 Jan;55(1):149-162
pubmed: 31778003
Can J Anaesth. 2017 May;64(5):517-529
pubmed: 28181184
Front Hum Neurosci. 2017 Aug 21;11:417
pubmed: 28871221
Neurol Med Chir (Tokyo). 2021 Jan 15;61(1):21-32
pubmed: 33208581
J Neurosurg. 2017 Oct;127(4):790-797
pubmed: 28059650
Drug Des Devel Ther. 2017 Mar 03;11:593-598
pubmed: 28424537
Curr Oncol. 2022 Oct 04;29(10):7396-7410
pubmed: 36290858
Curr Opin Anaesthesiol. 2018 Oct;31(5):506-510
pubmed: 29994938
World Neurosurg. 2017 Aug;104:679-686
pubmed: 28532922
Neurooncol Adv. 2020 Sep 18;2(1):vdaa111
pubmed: 33063012