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Intermediate Technical IVT

awake craniotomy

A surgical technique where patients remain conscious during tumor resection to preserve neurological function.

Full Definition

Awake craniotomy is a neurosurgical technique in which patients remain awake and responsive during portions of brain tumor surgery, allowing real-time assessment of neurological function. This approach is particularly valuable when tumors are located in or near eloquent brain regions, as it enables surgeons to maximize tumor resection while preserving critical functions such as speech, motor control, and cognition. Editors must understand the specific phases of awake surgery, patient selection criteria, and the unique considerations for reporting outcomes and complications.

Usage

Usage note: Distinguish from 'conscious sedation' which doesn't allow active patient participation; specify mapping techniques used.

In Context

  • "Awake craniotomy with language mapping was performed to preserve speech function during tumor resection." — Operative report
  • "The patient tolerated awake craniotomy well with no intraoperative neurological changes detected." — Surgical outcome documentation

Also known as

awake surgery conscious craniotomy awake brain surgery

Contrasted with

general anesthesia craniotomy asleep surgery

Don't confuse with

monitored anesthesia care conscious sedation local anesthesia

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