Awake Craniotomy for Resection of Cerebral Arteriovenous Malformation: Initial Experience From a Low- and Middle-Income Country

Abstract

Bakhshi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Feasibility of awake craniotomy for brain arteriovenous malformations: A scoping review

“… 22 Short-term post-operative complications included hemorrhage (n = 3) 22 , 32 , neurologic dysfunction including paresis (n = 3), hemiplegia (n = 10), dysphasia/aphasia (n = 6), cranial nerve dysfunction (n = 3), and pulmonary embolism (n = 1). 23 , 27 , 28 , 29 , 30 , 31 Almost all the complications/dysfunctions gradually improved on subsequent follow-ups. The 3 cases with hemorrhage underwent a craniotomy for evacuation.…”

“… 23 The patient with mid dysphasia described by Gamble et al had completely resolved by her 6 weeks follow-up. 27 Bakhshi et al described a case of conductive dysphasia and memory impairment 6 h after the procedure, which was due to cerebral edema, thus Dexamethasone was started that resolved the symptoms in 36 h. 28 Nimmannitya et al reported slight difficulty of speech which completely resolved within a few days. 29 Out of the 7 cases reported by Wang et al 3 experienced deficits, all of which improved on follow-up.…”

“… 32 Bakhshi SK et al reported the initial case series of AC for AVMs resection from a low-middle income country, and concluded that AC provided better postoperative outcomes, lesser morbidity, shorter hospital stay, contributing to low resource utilization, thus should be an ideal modality in a resource-limited setting. 28 Nimmannitya P et al 29 and Wang AT et al 30 recommended functional mapping during AC to map the AVM followed by resection under general anesthesia.…”

Intraoperative Seizures During Awake Craniotomy for Brain Tumor Resection

“…Awake craniotomy (AC) is fast becoming the standard of care for the resection of brain tumors occurring in eloquent areas [1][2][3][4][5]. Up to 30% of patients undergoing AC can experience intraoperative seizures (IOS) [4].…”