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• W2060132600 abstract "Awake craniotomy is currently a useful surgical approach to help identify and preserve functional areas during cortical and subcortical tumor resections. Methodologies have evolved over time to maximize patient safety and minimize morbidity using this technique. The goal of this study is to analyze a single surgeon's experience and the evolving methodology of awake language and sensorimotor mapping for glioma surgery.The authors retrospectively studied patients undergoing awake brain tumor surgery between 1986 and 2014. Operations for the initial 248 patients (1986-1997) were completed at the University of Washington, and the subsequent surgeries in 611 patients (1997-2014) were completed at the University of California, San Francisco. Perioperative risk factors and complications were assessed using the latter 611 cases.The median patient age was 42 years (range 13-84 years). Sixty percent of patients had Karnofsky Performance Status (KPS) scores of 90-100, and 40% had KPS scores less than 80. Fifty-five percent of patients underwent surgery for high-grade gliomas, 42% for low-grade gliomas, 1% for metastatic lesions, and 2% for other lesions (cortical dysplasia, encephalitis, necrosis, abscess, and hemangioma). The majority of patients were in American Society of Anesthesiologists (ASA) Class 1 or 2 (mild systemic disease); however, patients with severe systemic disease were not excluded from awake brain tumor surgery and represented 15% of study participants. Laryngeal mask airway was used in 8 patients (1%) and was most commonly used for large vascular tumors with more than 2 cm of mass effect. The most common sedation regimen was propofol plus remifentanil (54%); however, 42% of patients required an adjustment to the initial sedation regimen before skin incision due to patient intolerance. Mannitol was used in 54% of cases. Twelve percent of patients were active smokers at the time of surgery, which did not impact completion of the intraoperative mapping procedure. Stimulation-induced seizures occurred in 3% of patients and were rapidly terminated with ice-cold Ringer's solution. Preoperative seizure history and tumor location were associated with an increased incidence of stimulation-induced seizures. Mapping was aborted in 3 cases (0.5%) due to intraoperative seizures (2 cases) and patient emotional intolerance (1 case). The overall perioperative complication rate was 10%.Based on the current best practice described here and developed from multiple regimens used over a 27-year period, it is concluded that awake brain tumor surgery can be safely performed with extremely low complication and failure rates regardless of ASA classification; body mass index; smoking status; psychiatric or emotional history; seizure frequency and duration; and tumor site, size, and pathology." @default.
• W2060132600 created "2016-06-24" @default.
• W2060132600 creator A5006262715 @default.
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• W2060132600 creator A5050212520 @default.
• W2060132600 creator A5053223648 @default.
• W2060132600 creator A5081446500 @default.
• W2060132600 date "2015-08-01" @default.
• W2060132600 modified "2023-10-16" @default.
• W2060132600 title "Awake craniotomy to maximize glioma resection: methods and technical nuances over a 27-year period" @default.
• W2060132600 cites W1114255 @default.
• W2060132600 cites W141128991 @default.
• W2060132600 cites W1482109403 @default.
• W2060132600 cites W1502789305 @default.
• W2060132600 cites W1512714949 @default.
• W2060132600 cites W1517741458 @default.
• W2060132600 cites W1543646621 @default.
• W2060132600 cites W1553791770 @default.
• W2060132600 cites W1594600347 @default.
• W2060132600 cites W1596705744 @default.
• W2060132600 cites W1624957772 @default.
• W2060132600 cites W1823010645 @default.
• W2060132600 cites W1887747927 @default.
• W2060132600 cites W1920496697 @default.
• W2060132600 cites W1933000022 @default.
• W2060132600 cites W1933395359 @default.
• W2060132600 cites W1957383980 @default.
• W2060132600 cites W1966829673 @default.
• W2060132600 cites W1967490383 @default.
• W2060132600 cites W1969550929 @default.
• W2060132600 cites W1970720683 @default.
• W2060132600 cites W1973143101 @default.
• W2060132600 cites W1974239390 @default.
• W2060132600 cites W1977619283 @default.
• W2060132600 cites W1978084448 @default.
• W2060132600 cites W1982280388 @default.
• W2060132600 cites W1982405916 @default.
• W2060132600 cites W1986729995 @default.
• W2060132600 cites W1987577328 @default.
• W2060132600 cites W1988838224 @default.
• W2060132600 cites W1989413447 @default.
• W2060132600 cites W1991626598 @default.
• W2060132600 cites W1997733307 @default.
• W2060132600 cites W2002064104 @default.
• W2060132600 cites W2004360897 @default.
• W2060132600 cites W2004390834 @default.
• W2060132600 cites W2012971654 @default.
• W2060132600 cites W2013601340 @default.
• W2060132600 cites W2018296167 @default.
• W2060132600 cites W2018464587 @default.
• W2060132600 cites W2018829277 @default.
• W2060132600 cites W2019406823 @default.
• W2060132600 cites W2019880473 @default.
• W2060132600 cites W2023646309 @default.
• W2060132600 cites W2024514018 @default.
• W2060132600 cites W2024536834 @default.
• W2060132600 cites W2027548680 @default.
• W2060132600 cites W2028540538 @default.
• W2060132600 cites W2028653658 @default.
• W2060132600 cites W2029949715 @default.
• W2060132600 cites W2032855996 @default.
• W2060132600 cites W2034132841 @default.
• W2060132600 cites W2035548624 @default.
• W2060132600 cites W2039004893 @default.
• W2060132600 cites W2039127061 @default.
• W2060132600 cites W2040853533 @default.
• W2060132600 cites W2041491651 @default.
• W2060132600 cites W2044864836 @default.
• W2060132600 cites W2060244048 @default.
• W2060132600 cites W2060651536 @default.
• W2060132600 cites W2063039205 @default.
• W2060132600 cites W2064214863 @default.
• W2060132600 cites W2066192289 @default.
• W2060132600 cites W2067493013 @default.
• W2060132600 cites W2068731683 @default.
• W2060132600 cites W2069828036 @default.
• W2060132600 cites W2072469505 @default.
• W2060132600 cites W2079726695 @default.
• W2060132600 cites W2082380006 @default.
• W2060132600 cites W2088411836 @default.
• W2060132600 cites W2092233054 @default.
• W2060132600 cites W2094754800 @default.
• W2060132600 cites W2094859876 @default.
• W2060132600 cites W2097684389 @default.
• W2060132600 cites W2106140351 @default.
• W2060132600 cites W2108811492 @default.
• W2060132600 cites W2116693415 @default.
• W2060132600 cites W2117942958 @default.
• W2060132600 cites W2119002725 @default.
• W2060132600 cites W2119616180 @default.
• W2060132600 cites W2124641104 @default.
• W2060132600 cites W2125360780 @default.
• W2060132600 cites W2125437229 @default.
• W2060132600 cites W2128770137 @default.
• W2060132600 cites W2132581465 @default.
• W2060132600 cites W2134942438 @default.

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