How does awake brain surgery work




















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This allows the surgeons to remove as much of your tumor as possible, while preserving critical brain functions. Awake brain surgery is possible because there are no pain receptors in the brain itself. Your scalp will be anesthetized, so you will not feel the operation or any pain. Read more about awake brain mapping also called intraoperative mapping. This type of procedure is also done in cases of epilepsy, if the site where the seizures originate is near language, sensory, and motor regions of the brain.

Since , the UCSF Neurosurgery team has performed over 1, awake brain surgeries for epilepsy and brain tumor patients. Many of the techniques for awake brain mapping were developed and pioneered by Dr. Mitchel Berger , the director of our Brain Tumor Center. Our multidisciplinary brain mapping team includes neurosurgeons, neuro-anesthesiologists, speech and language specialists, neurologists, and psychologists.

Awake brain surgery is considered for any patient with a tumor located within or near regions of the brain controlling critical functions like language, sensation, and body movement. Awake brain mapping is considered the gold-standard for identifying and preserving those important areas of the brain during surgery.

Tumor types that may be considered for awake brain surgery include any tumor embedded within the brain intrinsic brain tumors such as grade I-IV gliomas , oligodendrogliomas , ependymomas , and brain metastasis.

While your neurosurgeon and neuroanesthesiologist will work together to determine what kind of anesthesia is best for you, typically patients are sedated during the beginning and end of the procedure, with local anesthesia throughout. Once the brain is exposed, the neuroanesthesiologist will wake you up for the brain mapping procedure.

Your neurosurgeon will begin stimulating different parts of your brain, by applying small electrical currents to the tissue around your tumor. You will not feel pain during this stimulation. Depending on the location of your tumor, you may experience different sensations. Electrical stimulation of the motor regions of the brain will cause specific muscles to contract, like in your leg or arm.

Stimulation of sensory regions of the brain will result in a tingly feeling on specific part of your body, like your face or feet. Stimulation of the language regions of the brain will temporarily cause you to make errors or stop speaking. Choose from 12 allied health programs at School of Health Professions.

Learn about our graduate medical education residency and fellowship opportunities. The B-Cell Lymphoma Moon Shot is revolutionizing the conventional medical research approach to rapidly translate findings into patient treatment options and develop personalized therapeutic strategies. Imagine being able to talk to your doctors during brain tumor surgery without pain and give them immediate feedback while they operate. A craniotomy is a type of surgery where a piece of the skull is temporarily removed to access the brain.

In an awake craniotomy, the patient is woken up during surgery. MD Anderson doctors perform more than 90 awake craniotomies every year.

This highly specialized surgical procedure requires a team approach led by an experienced neurosurgeon and a neuroanesthesiologist. To learn more, we spoke to neurosurgeon Jeffrey Weinberg, M. Our goal is to remove as much of the tumor as possible, as safely as possible. When a tumor is near an area of the brain that controls critical functions — such as speech, language or movement — an awake craniotomy is the best way to identify and safely preserve those abilities.

But below the surface, bundles of nerves pass through the brain to the spinal cord and throughout the body. We have to map these nerves to understand which ones are connected to key functions, so that we can avoid them as we remove the tumor. Damaging critical nerves could cause permanent disability. We also use other tools to map brain function, but mapping nerves during an awake craniotomy is the only way to obtain immediate feedback during surgery. Awake craniotomies are frequently — but not always — used for gliomas including glioblastoma , astrocytomas and oligodendrogliomas.

These brain tumors tend to occur in the frontal and temporal lobes, which control speech and motor function. The patient also has to feel comfortable with the idea of waking up during surgery.



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