Pathological findings show glioma in 9 patients, metastases in 3 patients and tuberculoma in 1 patient.Ĭonclusion: Based on our experience, Awake craniotomy is a technique designed to preserve the eloquent cortex and improving our knowledge of the functional structure of brain centers. None of the patients needed intensive post-operative care. Our procedure was done for tumors situated in the Broca area in 3 cases, motor gyrus in 7 cases and premotor gyrus in 3 cases. The length of surgery was varying from 120 to 420 minutes with mean was 270 min. Result: The pre-operative Karnofsky Performance Status (KPS) mean 63, with remarkable improvement to 70. Enbloc resection was done with a fully conscious patient as well as with careful neurological testing during surgery. Cortical stimulation using a monopolar stimulator was used to recognize the eloquent region surrounding the tumor. Phase reversal using the cortical grid was used to recognize the central sulcus, motor and sensory cortex. The specific anesthesia technique designated for this procedure was adopted. Sonography was introduced to determine the border of the tumor before and after surgery. Methods: This is a retrospective study analyzed data from all patient's medical records, who have performed an awake craniotomy from January 2018 to January 2020 at Dr Kariadi General Hospital, Semarang, Indonesia. We report our two years of experience in establishing an awake craniotomy in the Kariadi General Hospital, evaluating the adoption of the technique and the outcome of the surgery. The awake craniotomy procedure is currently the key option for achieving optimum safe resection. Introduction: The main objective of the surgical procedure is to achieve maximum resections with minimal functional neurological deficits for the patient with intrinsic tumors near the eloquent cortical area.
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