Journal of neurosurgical anesthesiology
-
J Neurosurg Anesthesiol · Oct 2015
ReviewThe Potential Benefits of Awake Craniotomy for Brain Tumor Resection: An Anesthesiologist's Perspective.
Awake craniotomy for brain tumor resection is becoming a standard of care for lesions residing within or in close proximity to regions presumed to have language or sensorimotor function. Evidence shows an improved outcome including greater extent of resection, fewer late neurological deficits, shorter hospital stay, and longer survival after awake brain tumor resection compared with surgery under general anesthesia. ⋯ We present our interpretation of the evidence that we believe substantiates this proposition. However, due to the lack of direct evidence based on randomized-controlled trials and the heterogeneity of anesthetic techniques used for awake craniotomy, our perspective is largely speculative and hypothesis generating that needs to be validated or refuted by future quality research.
-
J Neurosurg Anesthesiol · Oct 2015
Letter Case ReportsIs Sevoflurane Responsible for Postoperative Myoclonic Seizure?