Abstract

MARTINEZ-BARRETO, N et al. Anesthetic management for an intrinsic brain tumor resection in a pediatric awake patient: case report. Anest. Méx. [online]. 2017, vol.29, n.3, pp.48-54. ISSN 2448-8771.

During the last few years, the tendency to perform craniotomies in awake patients has increased. Since epilepsy surgery treatment was performed until the current recommendations in tumor resection located in critical areas of the central nervous system, where real-time brain monitoring is required during the excision, to avoid the neurological postoperative deficit risks.

The record of brain tumor resection techniques in awaken pediatric patients is limited, in part because this anesthesia technique has the risk of potential intraoperative complications such as airway obstruction, hypoxemia, hypoventilation and seizures or uncontrollable pain, which could compromise the patient integrity. For the adult population, there have been different anesthetic approaches, as the "asleep-awake-asleep” technique, which has also been reported in pediatric patients.

In this review, we report an 11-year old male, with an intrinsic right-parietal tumor behind primary sensory-motor cortex. During the surgery, he was awake for resection, and a clinical evaluation for sensory-motor and language functioning was performed, which demonstrated excellent post-operative results.

Keywords : awake craniotomy; real-time brain monitoring.

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