Awake Craniotomy in a Child: Assessment of Eligibility with a Simulated Theatre Experience

Case Reports in Anesthesiology
Jason LabuschagneCynthia Sibanda

Abstract

Awake craniotomy is a useful surgical approach to identify and preserve eloquent areas during tumour resection, during surgery for arteriovenous malformation resections and for resective epilepsy surgery. With decreasing age, a child's ability to cooperate and mange an awake craniotomy becomes increasingly relevant. Preoperative screening is essential to identify the child who can undergo the procedure safely. Case Description. A 11-year-old female patient presented with a tumour in her right motor cortex, presumed to be a dysembryoplastic neuroepithelial tumour (DNET). We had concerns regarding the feasibility of performing awake surgery in this patient as psychological testing revealed easy distractibility and an inability to follow commands repetitively. We devised a simulated surgical experience to assess her ability to manage such a procedure. During the simulated theatre experience, attempts were made to replicate the actual theatre experience as closely as possible. The patient was dressed in theatre attire and brought into the theatre on a theatre trolley. She was then transferred onto the theatre bed and positioned in the same manner as she would be for the actual surgery. Her head was placed on a horseshoe headrest, a...Continue Reading

References

Jan 1, 1986·International Anesthesiology Clinics·J P Girvin
Jan 1, 1997·Paediatric Anaesthesia·J D Tobias, D F Jimenez
Jan 13, 2000·Paediatric Anaesthesia·T S Armstrong, H L Aitken
Mar 29, 2001·Minimally Invasive Neurosurgery : MIN·H EbelN Klug
Jun 27, 2003·Journal of Neurosurgical Anesthesiology·John ArdAlex Bekker
Feb 27, 2004·Journal of Clinical Anesthesia·Carin A HagbergJames M Berry
May 18, 2004·Anaesthesia·M KlimekJ Klein
Nov 29, 2005·Anesthesiology Clinics of North America·Zeev N Kain, Alison A Caldwell-Andrews
Feb 24, 2006·Paediatric Anaesthesia·Lucinda L EverettJeffrey G Ojemann
Dec 21, 2006·Behavior Modification·Kristi D WrightSusan E Buffett-Jerrott
Mar 28, 2008·Journal for Specialists in Pediatric Nursing : JSPN·Ho Cheung William Li, Violeta Lopez
Jul 21, 2009·Journal of Neurosurgery·Kathleen Joy KhuMark Bernstein
May 22, 2013·Acta neurochirurgica·Thomas BeezUNKNOWN European Low Grade Glioma Network
Mar 7, 2014·Acta neurochirurgica·Monika MilianGuenther C Feigl
Oct 6, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·James A BalogunJames T Rutka
Aug 12, 2015·Current Opinion in Anaesthesiology·Jan-Willem Potters, Markus Klimek
Jan 20, 2016·Pediatric Neurosurgery·Ali AkaySertaç İşlekel
Feb 19, 2016·Materia Socio-medica·Konstantinos KoukourikosAreti Tsaloglidou
Jun 14, 2016·Journal of Clinical Anesthesia·Veena Sheshadri, B A Chandramouli
Sep 24, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Gianluca TrevisiHugues Duffau
Jun 5, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Elise RiquinMatthieu Delion
Aug 5, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Laura-Nanna LohkampFederico Di Rocco

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