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Research ArticleOriginal Article
Open Access

Awake craniotomy

A patient’s perspective

Khalid M. Bajunaid and Abdulrazag M. Ajlan
Neurosciences Journal July 2015, 20 (3) 248-252; DOI: https://doi.org/10.17712/nsj.2015.3.20140548
Khalid M. Bajunaid
From the Department of Neurosurgery (Bajunaid), Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada, the Department of Neurosurgery (Ajlan), Stanford University, Stanford, California, United States of America, the Division of Neurosurgery (Bajunaid), Faculty of Medicine, King Abdulaziz University, Jeddah, and the Division of Neurosurgery (Ajlan), Faculty of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia
MBBS
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  • For correspondence: [email protected]
Abdulrazag M. Ajlan
From the Department of Neurosurgery (Bajunaid), Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada, the Department of Neurosurgery (Ajlan), Stanford University, Stanford, California, United States of America, the Division of Neurosurgery (Bajunaid), Faculty of Medicine, King Abdulaziz University, Jeddah, and the Division of Neurosurgery (Ajlan), Faculty of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia
MBBS, FRCSC
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    Figure 1

    Standardized questionnaire form used for the survey on a patient’s perspective of awake craniotomy.

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    Figure 2

    Awake craniotomy A) diagram showing the areas injected with 0.5% marcaine with epinephrine before the skin incision (grey). The clamp fixation points are injected just prior to the head fixation. The sensory nerves and its dermatomal distribution are shown in the figure. B) Intraoperative setting for an awake craniotomy procedure.

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    Figure 3

    Preoperative evaluation MRI A) Preoperative T1 MRI with gadolinium of a 65 year-old female who presented with left side hemiparesis (patient 9). B) Preoperative T2 MRI of a 28 year-old female who presented with dysphasia (patient 4). C) Preoperative T1 MRI with gadolinium for an 82 year-old female who presented with mild dysphasia and right upper extremity weakness (patient 5).

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    Figure 4

    Postoperative evaluation of A) patient 9, B) patient 4, and C) patient 5 consecutively.

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    Table 1

    Patients overall experience and impression of awake craniotomy.

    Patient No.How was the experience?What was the worst part in the surgery?What was the worst part the experience overall?
    1EasierMy mouth very dry and I was thirstyThe intravenous lines insertion, hard waiting for the surgery
    2EasierBeing more awakeBeing more awake
    3EasierLying on my sideLying on my side
    4SameNothingNothing
    5SameIn the end because I lost speech, the beginning was also hardThe needle (local injection)
    6SameDarkness during the surgeryDarkness during the surgery
    7SameFeeling coldThe scars after the surgery
    8EasierPain in teethNursing issues before the surgery
    9EasierScared to move during the surgeryNot improving after the surgery
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Neurosciences Journal: 20 (3)
Neurosciences Journal
Vol. 20, Issue 3
1 Jul 2015
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Awake craniotomy
Khalid M. Bajunaid, Abdulrazag M. Ajlan
Neurosciences Journal Jul 2015, 20 (3) 248-252; DOI: 10.17712/nsj.2015.3.20140548

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Awake craniotomy
Khalid M. Bajunaid, Abdulrazag M. Ajlan
Neurosciences Journal Jul 2015, 20 (3) 248-252; DOI: 10.17712/nsj.2015.3.20140548
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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