Serrano MMD, Salinas MAJ, Millán MR, Alvarado BNA

Language: Spanish
References: 5
Page: 58-59
PDF size: 171.61 Kb.

ABSTRACT

Introduction: awake craniotomy for resection of lesions involving motor or eloquent areas demands precise anesthetic techniques to control consciousness levels during surgery and conduct intraoperative neuropsychological testing. This presents pharmacological, airway permeability, anesthetic depth, and monitoring challenges for anesthesiologists. Case report: a 64-year-old female with a right frontoparietal tumor underwent a craniotomy. The anesthetic technique involved initial total intravenous anesthesia, scalp block, and subsequent transition to conscious sedation for tumor resection, allowing real-time neuropsychological assessment. Postoperative evolution was favorable, demonstrating the feasibility and safety of the asleep-awake technique.

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