Comparison of Awake Craniotomy with Craniotomy Under General Anesthesia for Resection of Tumors in Eloquent Areas of Brain

Authors

  • Waqar Ahmed Department of Anaesthesia, Combined Military Hospital Okara/National University of Medical Sciences (NUMS) Pakistan
  • Fazal hussain Fazal Department of Anaesthesia, Combined Military Hospital Okara/National University of Medical Sciences (NUMS) Pakistan
  • Muhammad Saeed Department of Anaesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Bilal yasin Department of Anaesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • M. Umair khan Department of Anaesthesia, Combined Military Hospital Okara/National University of Medical Sciences (NUMS) Pakistan
  • Waqas Tariq Department of Anaesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i5.8764

Keywords:

Awake craniotomy, Brain tumors, General anesthesia.

Abstract

Objective: To compare awake craniotomy with craniotomy under general anesthesia for early post-operative parameters in patients undergoing resection of tumors in eloquent areas of brain.

Study Design: Quasi experimental study.

Place and Duration of Study: Department of Anesthesia, Combined Military Hospital, Rawalpindi Pakistan Apr 2021 to May 2022.

Methodology: All the patients who underwent resection surgeries for brain tumors in eloquent areas of brain were included in the study. They were divided into two Groups via lottery method. Group A underwent awake craniotomy while Group B underwent craniotomy under general anesthesia. Relevant intraoperative and early post-operative parameters were compared in both the Groups.

Results: A total of 60 patients who underwent resection of eloquent area brain tumors in our hospital during the study period were included in the final analysis. Out of these 40(66.7%) underwent craniotomy under general anesthesia while 20(33.3%) underwent awake craniotomies. Mean age of the study participants was 45.61±7.889 years. Frontal lobe tumors were the most encountered brain tumors in our study participants. Patients who underwent awake craniotomy had statistically significantly lower KORNAFSKY score, lesser days of post-operative admission days and lesser neurological deficits (p-value <0.005) as compared to those who underwent craniotomy under general anesthesia.

Conclusion: Awake craniotomy emerged as superior option as compared to craniotomy under general anesthesia in terms of early post-operative parameters. Lower KORNAFSKY score, lesser days of post-operative admission days and lesser neurological deficits were seen in patients undergoing awake craniotomy.

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Published

31-10-2024

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Original Articles

How to Cite

1.
Ahmed W, Fazal F hussain, Saeed M, yasin B, khan MU, Tariq W. Comparison of Awake Craniotomy with Craniotomy Under General Anesthesia for Resection of Tumors in Eloquent Areas of Brain. Pak Armed Forces Med J [Internet]. 2024 Oct. 31 [cited 2024 Dec. 3];74(5):1456-60. Available from: https://pafmj.org/PAFMJ/article/view/8764