Awake Craniotomy and Brain Mapping for Brain Tumor Resection in Pediatric Patients

Abstract

Brain tumor resection in pediatric patients constitutes a real challenge. In order to improve survival and to preserve neurological function, we will further on describe our experience with awake craniotomy and functional mapping for brain tumor resection in pediatric patients. Although our experience with this technique was relatively short, we did not observe complications, and a gross total resection was successfully achieved in all cases. In the postoperative period we did not find any new deficiency in our patients. We observed functional recovery - motor and sensitive aphasia, motor strength improvement in hemiplegic patients, and recovery of neurodevelopmental milestones during follow-up. In our experience, the use of awake craniotomy and brain mapping for brain tumor resection in pediatric patients is truly safe and reliable.

Abordaje perioperatorio en cirugía neurológica con el paciente despierto

“…En el Instituto Nacional de Pediatría (México) el grupo de trabajo de la Dra. León Álvarez (neuroanestesióloga) realiza CPD en población pediátrica (9)(10)(11) . Aunado a todo lo anterior, es un procedimiento con mejor rentabilidad, ya que reduce los costos hospitalarios al disminuir el consumo de fármacos, acortar la estancia en unidades de cuidados intensivos e intrahospitalaria (12,13) .…”