Benefits of awake craniotomy

Written by: Dr. Juan Francisco Martínez-Canca
Published: | Updated: 18/02/2018
Edited by: Top Doctors®

A craniotomy is awake brain surgery performed in the same manner as a conventional craniotomy, but with the patient awake during some phases of the procedure. This is a particularly suitable technique for operations that seek to eliminate brain lesions that are near or within (functionally important) and eloquent brain regions that are traditionally considered "untouchables".Perform the procedure with the patient awake allows us to specialists in Neurosurgery hurry up margins of tumor resection, working literally in brain regions that are normally inaccessible due to its functional importance. This technique also allows determining the neurological functions remain continuously intact patient intraoperatively. The overall objective is therefore to minimize risks and ensure tumor killing close to 100%, preserving the absolute integrity of the patient.

There are different procedures to perform a craniotomy awake, but all share the same pattern: the anesthesia team applies sedation to the patient by intravenous infusion allows a conventional general anesthesia while opening the skull is practiced and the area is exposed where it is tumor. In the operating room, a sophisticated neuro-navigation system determines the exact point of location of the tumor, allowing make the incision in a precise and minimally invasive. Sometimes, the area of ​​the incision is not even necessary to shave because it is usually very small.When the brain is exposed and the navigation system has identified the field, the patient, who does not experience pain or discomfort you wake up some, being able to communicate well with all members of the surgical team. That's when a procedure called cortical mapping is performed: by bioelectrical stimulation of the brain surface with a small probe designed for this task, a "map" of functionally active areas and those that are not due to get the tumor infiltration. The patient is the one who guides in this process, performing actions ranging from an answer to a specific question to write, draw or manipulate a computer or a musical instrument. Thus, the neurosurgeon knows if it is to a motor region of the brain, a sensory area or a tumor area.After completing the map of these regions, the neurosurgeon performs tumor removal of a complete and satisfactory manner, while protecting the important regions of the brain throughout the procedure.Postoperative recovery is usually much faster, because the patient has not been subject to a prolonged general anesthesia. Sometimes, depending on the type of surgery, it may be discharged even the next day after surgery.

 

*Translated with Google translator. We apologize for any imperfection

By Dr. Juan Francisco Martínez-Canca
Neurological Surgery

Dr. Martinez-Canca has been a Doctor of Medicine and Surgery from the University of Malaga (Spain) since 1994 and has been trained as a Neurosurgery Specialist in London (UK) since 1996, where he obtained a national training place in the South Deanery Of the Thames. He continued working in the UK Public Health System (NHS) until 2010. He currently works as a private Neurosurgeon in Spain and several countries in the Middle East, although he continues his professional collaboration with the British Public Health System on a regular basis in the University of Oxford as visiting Neurosurgeon at the John Radcliffe NHS Trust University Hospital since 2013.

In addition to the general adult and pediatric neurosurgical practice (neuro-traumatology, neuro-intensivism, spinal neurosurgery, neurovascular pathology and peripheral nerve pathology), his clinical and surgical experience is constantly updated through numerous courses and international workshops in practical neurosurgery And theoretical. His special interest in the specialty is the treatment of brain tumors and spinal cord tumors, as well as the management of Cranio-Brain Injury and Spinal Cord Injury. In Column Surgery, he has a long history with a large number of interventions in which he uses dynamic and minimally invasive techniques. During the last five years, it has consolidated a Pain Management Unit where the combination of the holistic approach and electromagnetic technology applied to human physiology has obtained surprising results in the treatment of non-surgical sciatic pain, trigeminal neuralgia and pain Muscle-skeletal refractory. His most recent interest is in the treatment of tumors using Electromedical Oncologic Hyperthermia and the practice of Craniotomies.

Neurosurgeon Head at NeuroKonsilia® and NeuroKonsilia Medical Research Institute®, he is currently developing, together with a team of pioneering scientists and specialists in Cellular Medicine, an innovative line of research on Autologous Mother Cell Therapy (ASCT) applied to Neuroscience. He is also an adviser on Neuro-Oncology Hyperthermia and Regenerative Plasma Therapy. Founding partner of Neurobridge Consulting®, in parallel to his professional activity, Holistic Medicine Specialist and co-founder of the International Center for Holistic Therapy (formerly known as Brain Respiration Centre®) based in London and Marbella, fully funded and sponsored by Charitable contributions. This initiative is part of The Breathing Group Corporation © ®.

*Translated with Google translator. We apologize for any imperfection

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