Abstract | OBJECT: Awake craniotomy was performed as the standard surgical approach to supratentorial intraaxial tumors, regardless of the involvement of eloquent cortex, in a prospective trial of 200 patients surgically treated by the same surgeon at a single institution. METHODS: Patient presentations, comorbid conditions, tumor locations, and the histological characteristics of lesions were recorded. Brain mapping was possible in 195 (97.5%) of 200 patients. The total number of patients sustaining complications was 33 for an overall complication rate of 16.5%. There were two deaths in this series, for a mortality rate of 1%. New postoperative neurological deficits were seen in 13% of the patients, but these were permanent in only 4.5% of them. Complication rates were higher in patients who had gliomas or preoperative neurological deficits and in those who had undergone prior radiation therapy or surgery. No patient who entered the operating room neurologically intact sustained a permanent neurological deficit postoperatively. Of the most recent 50 patients treated, three (6%) required a stay in the intensive care unit, and the median total hospital stay was 1 day. CONCLUSIONS:
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Authors | M D Taylor, M Bernstein |
Journal | Journal of neurosurgery
(J Neurosurg)
Vol. 90
Issue 1
Pg. 35-41
(Jan 1999)
ISSN: 0022-3085 [Print] United States |
PMID | 10413153
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Brain Diseases
(surgery)
- Brain Mapping
(methods)
- Cause of Death
- Cerebral Cortex
(surgery)
- Child
- Craniotomy
(adverse effects, methods)
- Critical Care
- Female
- Glioma
(surgery)
- Hospitalization
- Humans
- Length of Stay
- Male
- Middle Aged
- Neurologic Examination
- Postoperative Complications
- Prospective Studies
- Supratentorial Neoplasms
(pathology, secondary, surgery)
- Time Factors
- Wakefulness
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