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Kulikov A.S.

Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia

Kobiakov G.L.

GBU NII neĭrokhirurgii im. N.N. Burdenko

Gavrilov A.G.

N.N. Burdenko Institute of Neurosurgery, Moscow, Russia

Lubnin A.Yu.

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of the Moscow Region, Moscow, Russia, N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia, Department of Obstetrics and Gynecology, M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia

Awake craniotomy: analysis of complicated cases

Authors:

Kulikov A.S., Kobiakov G.L., Gavrilov A.G., Lubnin A.Yu.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2015;79(6): 15‑21

DOI: 10.17116/neiro201579615-21

Read: 4818 times

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Table of contents

AWAKE CRANIOTOMY: ANALYSIS OF COMPLICATED CASES
AWAKE CRANIOTOMY: ANALYSIS OF COMPLICATED CASES

To cite this article:

Kulikov AS, Kobiakov GL, Gavrilov AG, Lubnin AYu. Awake craniotomy: analysis of complicated cases. Burdenko's Journal of Neurosurgery. 2015;79(6):15‑21. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201579615-21

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Awake craniotomy is recognized as method that can decrease the frequency of neurological complications after surgery for gliomas located near eloquent brain regions. Unfortunately good neurological outcome can’t be ensured even by using of this technique. This paper discusses reasons and possible ways of prevention of such complications. Material and methods. 162 awake craniotomies were performed in our clinic. Results. 152 of patients were discharged from the clinic with good outcome. In 10 (6%) cases sustained severe neurological deficit was noted. These complications were associated with anatomic or ischemic injury of subcortical pathways and internal capsule. Conclusion. Awake craniotomy is effective instrument of brain language mapping and prevention of neurological deterioration. Severe neurological complications of awake craniotomy are associated with underestimate neurosurgical risks, especially in terms of blood vessel injury and depth of resection. The main way of prevention of such complications is meticulous planning of operation and adequate using of mapping facilities.

Keywords:

awake craniotomy
brain mapping
complications
gliomas

Authors:

Kulikov A.S.

Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia

Kobiakov G.L.

GBU NII neĭrokhirurgii im. N.N. Burdenko

Gavrilov A.G.

N.N. Burdenko Institute of Neurosurgery, Moscow, Russia

Lubnin A.Yu.

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of the Moscow Region, Moscow, Russia, N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia, Department of Obstetrics and Gynecology, M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia

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