title: [Awake craniotomy: analysis of complicated cases].
abstract: Awake craniotomy is recognized as method that can decrease the frequency of neurological complications after surgery for gliomas located near eloquent brain regions. Unfortunately good neurological outcome can't be ensured even by using of this technique. This paper discusses reasons and possible ways of prevention of such complications.
  
  
  
  162 awake craniotomies were performed in our clinic.
  
  
  
  152 of patients were discharged from the clinic with good outcome. In 10 (6%) cases sustained severe neurological deficit was noted. These complications were associated with anatomic or ischemic injury of subcortical pathways and internal capsule.
  
  
  
  Awake craniotomy is effective instrument of brain language mapping and prevention of neurological deterioration. Severe neurological complications of awake craniotomy are associated with underestimate neurosurgical risks, especially in terms of blood vessel injury and depth of resection. The main way of prevention of such complications is meticulous planning of operation and adequate using of mapping facilities.
authors.affiliation: Burdenko Neurosurgery Institute, Moscow, Russia.
authors.forename: A S
authors.initials: AS
authors.lastname: Kulikov
authors.affiliation: Burdenko Neurosurgery Institute, Moscow, Russia.
authors.forename: G L
authors.initials: GL
authors.lastname: Kobyakov
authors.affiliation: Burdenko Neurosurgery Institute, Moscow, Russia.
authors.forename: A G
authors.initials: AG
authors.lastname: Gavrilov
authors.affiliation: Burdenko Neurosurgery Institute, Moscow, Russia.
authors.forename: A Yu
authors.initials: AY
authors.lastname: Lubnin
mesh_terms: D001932:Brain Neoplasms / Q000601:surgery*; D003399:Craniotomy; D005260:Female; D005910:Glioma / Q000601:surgery*; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D014851:Wakefulness