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KMID : 0942820020010020146
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Journal of Korean Brain Tumor Society
2002 Volume.1 No. 2 p.146 ~ p.152
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Brain Tumor Removal by Awake Craniotomy
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Kim Ji-Heon
Cho Kyung-Gi
Moon Bong-Ki
Kim Hyuk-Joon
Chung Young-Sun
Shin Yong-Sam
Ahn Young-Hwan
Yoon Soo-Han
Cho Ki-Hong
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Abstract
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Objective: Awake craniotomy is a kind of operation which can be used in the case of the mass adjacent eloquent area. In this report, we explain the usefulness of awake craniotomy in the case of declining lung functions as well as the eloquent area.
Methods: Awake craniotomy has been performed on fifteen from July 1999 to May 2002. Perioperative neurological state and their changes were evaluated in all patients.
Results: The 15 patients who had undergone the surgery were satisfied with the results of their operations. The mean ages were 50.2. Male to female ration was 8：7. Tumors were located in eloquent area such as motor cortex in 8 patients, speech area in 4 and thalamus in 1. Mean period of post ICU staying was 32.53 hours, mortality rate was 0% and two patients developed new neurological deficit. Also, three patients who were inadequate to general anesthesia because of old age and declined lung function have excellent results. We can reduce neurological deficit and make ICU care time
shorterper with awake craniotomy.
Conclusion: Awake craniotomy is useful operation in the cases of the mass located in the eloquent area and inadequacy to general anesthesia.
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KEYWORD
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Awake craniotomy, Brain mapping, Eloquent area
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