Results of awake surgery for eloquent brain tumors resection in children
https://doi.org/10.56618/2071-2693_2023_15_2_102
Abstract
Summary. This article demonstrates the personal experience of using and performing awake surgery with eloquent brain area tumors in children. Purpose of the study: to introduce the technique of performing neurosurgical operations in consciousness («awake surgery») in children’s patients and evaluate its effectiveness and safety. Materials and methods: the article presents an analysis of the experience of performing neurosurgical operations in children in the period from 2016 to 2022, carried out in the RRCS of Neurology and Neurosurgery. 17 patients underwent 20 operations in consciousness using the sleep-wake-sleep technique. There were 8 boys and 9 girls. The age of the patients ranged from 8.2 to 17.6 years, the median age was 14.5 years. The minimum age of a boy is 8.2 years old, a girl is 9 years old. Three patients were operated twice. The follow-up period was 2.93 years. Results. The results of the study demonstrated high indicators of the quality of life, only 4 (23.5 %) developed a temporary neurological deficit in the early postoperative period, which in most cases completely regressed. It was possible to achieve gross total resection of the tumor in 76.5 % cases. Conclusion. Our experience of performing awake operations in children’s patients has shown that with careful preliminary preparation and planning of each stage of the operation. Operation in consciousness is safe enough, allows preserving the quality of life of the patient, significantly reducing the number of patients suffering from epilepsy associated with tumor, while not reducing number of patients with the gross total resection.
About the Authors
M. V. Talabaev
Republican Research and Clinical Center for Neurology and Neurosurgery
Belarus
Belarus
24 F. Skoriny, Minsk, Republic of Belarus, 220114
H. Y. Salauyeva
Republican Research and Clinical Center for Neurology and Neurosurgery
Belarus
Belarus
24 F. Skoriny, Minsk, Republic of Belarus, 220114
G. V. Zabrodzets
Republican Research and Clinical Center for Neurology and Neurosurgery
Belarus
Belarus
24 F. Skoriny, Minsk, Republic of Belarus, 220114
N. V. Churila
Republican Research and Clinical Center for Neurology and Neurosurgery
Belarus
Belarus
24 F. Skoriny, Minsk, Republic of Belarus, 220114
K. F. Venegas
Republican Research and Clinical Center for Neurology and Neurosurgery
Belarus
Belarus
24 F. Skoriny, Minsk, Republic of Belarus, 220114
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Review
For citations:
Talabaev M.V., Salauyeva H.Y., Zabrodzets G.V., Churila N.V., Venegas K.F. Results of awake surgery for eloquent brain tumors resection in children. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2023;15(2):102-108. (In Russ.) https://doi.org/10.56618/2071-2693_2023_15_2_102
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