What is awake brain surgery? Procedure of craniotomy

 What is awake brain surgery? Procedure of craniotomy

Awake brain surgery is a medical procedure that is essentially utilized to treat epileptic seizures and Parkinson’s illness, yet it is progressively utilized for the evacuation of cerebrum tumors close to your brain that can influence the major functions of the human body. Staying cognizant permits you to address the questions that can assist the neurosurgeon with recognizing zones of the cerebrum influencing your activities like vision, speech, and movement. The data collected by the neurosurgeon will help him/her in the treatment.

The tumor or segment present in your mind that causes seizures needs careful expulsion. Specialists should be certain that they are not harming the particular zones of the cerebrum that influence your motor skills. It’s hard to pinpoint those areas precisely before a medical procedure. Awake craniotomy permits the specialist to know exactly which areas of your cerebrum control your motor skills so that they don’t damage those areas.

In Awake brain surgery, you get sedation and pain killers from your neurosurgeon, who will screen your pulse, blood pressure and stay next to you throughout the surgery. You won’t really be conscious during the medical procedure. The neurosurgeon can change the medication levels during the medical procedure to wake you up at the essential stages of the surgery. In between the medical procedure, you will completely not be conscious. You might be brought to a state where you can react by crushing a hand or giving some other sign. A few patients don’t recollect that they were awake during the surgery. Preoperative conversations with your neurosurgeon can help diminish any tension that you may feel about this sort of medical procedure.

Awake brain surgery is suitable for which kind of patients?

Awake brain surgeries are frequently utilized to remove gliomas(a tumor) and people with epilepsy whose seizures are not controllable with medicines are also treated with this medical procedure. These brain tumors are generally located in the lower and frontal lobe, which control your motor activities. The patient likewise needs to feel good with the idea of getting up during a medical procedure. A patient with extreme symptoms will be unable to successfully contribute to the neurological tests during the surgery. A neuropsychological assessment can help decide whether the patient has shortfalls or would be suitable for this surgery.

Is it possible to be awake without feeling the pain?

Mind tissues don’t have any torment fibers, so while you may feel some pressure or vibrations from the surgery, you won’t feel the pain during this medical procedure. Neurologists use sedative drugs(these kinds of drugs are utilized at a dental specialist’s office) to numb the muscles, skin, and bone that the neurologist needs to slice through to get to the cerebrum. 

What should you do when you are awake during the medical procedure?

When you wake up, you’ll hear your neurologist consoling you. You won’t have the option to move your head, however, the neurologist and the nurses will make you as comfortable as possible and stay with you the whole time.

How long will you be awake?

You will stay awake for 45 minutes to a few hours, depending upon how gigantic your tumor is, the place where it’s found, and the kind of symptoms you had before a medical procedure.

When will you get back to sleep after awake brain surgery?

Your neurologist will send you back to sleep after gathering the supportive data that could be expected from the neurological test. You’ll be sleeping as the incision is being stitched, and you’ll wake up again when the medical procedure is completed.

How to deal with the pain after the surgery?

Neurosurgeons are additional pain management experts for conditions identified with this medical procedure. Prior to the surgery, the neurosurgeon may get some information about your agony resistance capacity to deal with any postoperative torment. The neurosurgeon will talk to you after the surgery and may change your therapy dependent on the torment that you encounter.

Your neurosurgeon will likewise consider a few other factors, for example, strong medicine’s possible effect on oxygenation and breathing during your initial stages of recuperation.

If you are at home you could examine your side effects with your neurologist. If you face any of the following symptoms you need to reach out to your primary care physician immediately:

  •  Migraines that are deteriorating
  •  Seizures
  •  Fever
  • Wound issues
  • Languor has increased


On the off chance that you had the surgery due to epilepsy, you should see a reduction in the frequency of your seizures after the medical procedure. A few people are seizure-free, while others experience fewer seizures than prior to the surgery. Periodically, a few people have no recurrence of their seizures.

In case you had the surgery to eliminate a tumor, your neurosurgeon must have the option to eliminate the vast majority of the tumor. You may in any case require different therapies, for example, radiation treatment or chemotherapy, to help demolish the leftover pieces of the tumor.

We assist in Awake Brain Surgery for domestic as well as international patients in Delhi

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