experience of awake craniotomy in a child (clinical case)
Опыт краниотомии с пробуждением у ребенка (клинический случай)
Pulkina O.N. Nizolin D.V. Sholahov Z.Zh. Zhaigalov A.A. Kim A.V. Kasenova G.N. Shmeleva O.O.
2024New Terra Publishing House
Messenger of Anesthesiology and Resuscitation
2024#21Issue 393 - 98 pp.
The objective was to demonstrate the possibility of performing awake craniotomy in a child. Materials and methods. The 9-year-old child with a dysembrioplastic neuroepithelial tumor in the left temporal lobe was planned and performed awake craniotomy. During awakening, the child performed a naming test, object designation tests, word repetition and spontaneous speech, and Lurias test. Results. During psychological tests and intraoperative neuromonitoring, it was possible to successfully identify the speech zone and motor areas of the face, which helped to safely remove brain formation without complications. This clinical case was also interesting because the childs native language was Kazakh, so an interpreter was presented during the intraoperative awakening. Conclusions. The case demonstrates the possibility of performing awake craniotomy in a child, which depends not only on the somatic and psychological state, but also on the professionalism of the operating team, including surgeons, anesthesiologists, neurophysiologist, neuropsychologist and a large number of nursing staff who are able to clearly interact with each other.
anesthetic support for awake craniotomy in children , awake craniotomy in children , experience of awake craniotomy in a child , tumor in the speech zone
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Saint-Petersburg Research Center of Phthisiopulmonology, 32, Politechnicheskaya str., St. Petersburg, 194021, Russian Federation
Childrens City Clinical Hospital no 2, Department of Public Health of Almaty, 54, Altynsarina str., Almaty, 050000, Kazakhstan
Almazov National Medical Research Centre, 2, Akkuratova str., Saint Petersburg, 197341, Russian Federation
Saint-Petersburg Research Center of Phthisiopulmonology
Childrens City Clinical Hospital no 2
Almazov National Medical Research Centre
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