Prospective study of awake craniotomy used routinely and nonselectively for supratentorial tumors.

摘要: Object The authors prospectively assessed the value of awake craniotomy used nonselectively in patients undergoing resection supratentorial tumors. Methods demographic features, presenting symptoms, tumor location, histological diagnosis, outcomes, and complications were documented for 610 who underwent resection. Intraoperative brain mapping was 511 cases (83.8%). Mapping identified eloquent cortex 115 (22.5%) no 396 (77.5%). Results Neurological deficits occurred 89 (14.6%). In subset whom performed, 78 (15.3%) experienced postoperative neurological worsening. This phenomenon more common with preoperative or those individuals successfully tissue. Twenty-five (4.9%) suffered intraoperative seizures, two these required intubation a...