Awake Throughout Craniotomy: Initial Experience and the Anaesthetic Challenges

Authors

  • Bigen M Shakya Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal
  • Binita Acharya Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal
  • Gentle S Shrestha Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal
  • Anil Shrestha Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal
  • Gopal Sedain Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal
  • Ninadini Shrestha Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal

Keywords:

Awake throughout, craniotomy, outcome

Abstract

The tumor of brain near or within the eloquent brain regions like motor and language cortex requires excision of tumor and at the same time preservation of the functional area. To achieve the second goal the awake craniotomy is being practiced where the aim is to make the patient awake during resection of tumor so that the motor and speech function can be constantly monitored. We present the anaesthetic management of a case of craniotomy for low grade oligodendroma in frontal region with the awake throughout technique.

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Author Biographies

Bigen M Shakya, Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal

Department of Anesthesiology

Binita Acharya, Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal

Department of Anesthesiology

Gentle S Shrestha, Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal

Department of Anesthesiology

Anil Shrestha, Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal

Department of Anesthesiology

Gopal Sedain, Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal

Department of Neurosurgery

Ninadini Shrestha, Maharajgunj Medical Campus, TU Teaching Hospital, Kathmandu, Nepal

Department of Anesthesiology

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Published

2019-04-30

How to Cite

Shakya, B. M., Acharya, B., Shrestha, G. S., Shrestha, A., Sedain, G., & Shrestha, N. (2019). Awake Throughout Craniotomy: Initial Experience and the Anaesthetic Challenges. Journal of Institute of Medicine Nepal, 41(1), 106–108. Retrieved from https://nepjol.info/index.php/JIOM/article/view/28609

Issue

Section

Case Reports