Author/Authors :
Takrouri, Mohamad Said Maani King Fahad Medical City - Department of Anesthesia, Saudi Arabia , Shubbak, Firas A King Fahad Medical City - Department of Anesthesia, Saudi Arabia , Al Hajjaj, Aisha King Fahad Medical City - Department of Neuroscience center, Saudi Arabia , Del Maaestro, Rolando F Montréal Neurosurgical Institute and hospital, Canada , Soualmi, Lahbib Neuroscience Center - Neuronavigation Unit and BrainSUITE, Saudi Arabia , Alkhodair, Mashael H Rehabilitation Hospital - Communication and Swallowing Disorders Department, Saudi Arabia , Alduraibi, Abrar M Rehabilitation Hospital - Communication and Swallowing Disorders Department, Saudi Arabia , Ghanem, Najeeb King Fahad Medical City, Saudi Arabia
Abstract :
This technical report disrobes the first case in Intra-operative Magnatic Resonance Imaging operating theatre (iMRI OT) (BrainSuite®), of Awake Craniotomy. The procedure was for frontal lobe glioma excision in 24 y. old man. He was scheduled to undergo eloquent cortex language mapping intra-operatively. He was motivated and was excited to see the operating theatre. He requested to take his photos while operated upon. The authors adapted conscious sedation technique with variable depth according to Ramsey’s scale , in order to revert to awake state to perform the intended neurosurgical procedure. Patient tolerated the situation satisfactory and was cooperative till the finish without any event. We elicit in this report the special environment of iMRI OT for lengthy operation in pinned fixed patient having craniotomy. The text shows the special environment, its demands and its possible difficulties.
Keywords :
Awake craniotomy , scalp block , language mapping motor testing , Intra , operative Magnatic Resonance Imaging operating theatre (iMRI OT) , BrainSuite®: Coil head protection. Neuroanesthesia , Neurosurgery
