title: Neuronavigation-guided intubated wake-up craniotomy for a patient with a brain astrocytoma.
abstract: Computer-assisted neuronavigation (an image-guided technique that facilitates brain tumor surgery) reduces the risk of neurological morbidity. Postoperative neurological dysfunction is also minimized by performing intraoperative neurological testing during awake craniotomy with proper surgical resection of a brain tumor. However, when the patient's airway is not secured, an awake craniotomy can be hazardous if emergent intubation is necessary. The present report describes a young man with a brain tumor who underwent neuronavigation-guided wake-up craniotomy and surgical resection of an astrocytoma. The patient was intubated throughout the course of the procedure, during which modified intraoperative neurological tests were performed for cortical mapping. The patient recovered well after the operation and without any neurological deficits.
authors.affiliation: Department of Neurosurgery, Ditmanson Medical Foundation, Chia-Yi Christian Hospital, Chiayi, Taiwan, ROC. 01204@cych.org.tw
authors.forename: Wen-Kuei
authors.initials: WK
authors.lastname: Fang
authors.forename: Peh-Kuang
authors.initials: PK
authors.lastname: Lu
authors.forename: Joseph-Hang
authors.initials: JH
authors.lastname: Leung
authors.forename: Han
authors.initials: H
authors.lastname: Jing
authors.forename: Shih-Han
authors.initials: SH
authors.lastname: Chen
authors.forename: Da-Wei
authors.initials: DW
authors.lastname: Huang
authors.forename: Kuo-Chang
authors.initials: KC
authors.lastname: Huang
mesh_terms: D000328:Adult; D001254:Astrocytoma / Q000601:surgery*; D001932:Brain Neoplasms / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D006801:Humans; D007440:Intubation / Q000379:methods; D008297:Male; D038361:Neuronavigation / Q000379:methods*; D014851:Wakefulness
keywords: airway maintenance; awake craniotomy; emergent intubation; neuronavigation