Benefits of awake craniotomy

Written by: Dr. Juan Francisco Martínez-Canca
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. Martínez-Canca has a PhD in Medicine and Surgery from the University of Malaga (Spain) since 1994 and completed his training as a Specialist in Neurosurgery in London (United Kingdom) since 1996, where he obtained a national training place in the Southern Dean's Office of the Thames. He continued working in the Public Health System of the United Kingdom (NHS) until 2010. He currently works as a private Neurosurgeon in Spain and in several countries in the Middle East, although he continues his professional collaboration with the British Public Health System on a regular basis. Oxford University as visiting Neurosurgeon at the John Radcliffe University Hospital NHS Trust since 2013.

In addition to general neurosurgical practice, both adult and pediatric (neuro-traumatology, neuro-intensivism, spinal neurosurgery, neurovascular pathology and peripheral nerve pathology), his clinical and surgical experience is constantly updated through numerous international courses and workshops in practical Neurosurgery and theoretical His special interest in the specialty is the treatment of brain tumors and tumors of the spinal cord, as well as the management of Cranio-Encephalic Trauma and Spinal Cord Injury . In Column Surgery , it has a long history with a large number of interventions in which it uses dynamic and minimally invasive techniques. During the last five years he has consolidated a Pain Management Unit, where the combination of 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 refractory musculoskeletal His most recent interest focuses on the treatment of tumors by Electromodulated Oncologic Hyperthermia and the practice of Aroused Craniotomies.

Chief Neurosurgeon at NeuroKonsilia ® and NeuroKonsilia Medical Research Institute®, currently develops together with a team of pioneering scientists and specialists in Cellular Medicine an innovative line of research in therapy with Autologous Stem Cells (ASCT) applied to Neurosciences. He is also a consultant in Neuro-Oncological Hyperthermia and Plasma Regenerating Therapy. Founding partner of Neurobridge Consulting®, in parallel to his professional activity, he is Holistic Medicine Specialist and co-founder of the International Holistic Therapy Center (formerly known as Brain Respiration Center®) 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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