Awake Surgery for Brain Tumors Awake brain tumor surgery, also known as intraoperative brain mapping, is a procedure performed while the patient is awake but sedated. This allows the neurosurgeon to stimulate part of the brain during the surgery to identify important functional areas to avoid.
Awake craniotomy, also known as awake brain surgery, is a type of procedure performed on the brain while the patient is awake and able to talk to the operative team. Awake craniotomy was initially used for the surgical treatment of epilepsy and is now most commonly performed for the resection of tumors.
It could take up to 3-5 hours if you are having a regular craniotomy. If you have an awake craniotomy, the surgery could take 5-7 hours. This includes pre op, peri op and post op. The number one post-op concern for patients undergoing brain surgery is neurologic function.
Currently, most surgeons around the world conduct this surgery while the patient is awake. You read that right: It's considered standard clinical practice to keep a patient awake for the four to six hours it takes to implant electrodes into specific areas of the brain that control movement.
To remove a brain tumor, a neurosurgeon makes an opening in the skull. This operation is called a craniotomy. Whenever possible, the surgeon attempts to remove the entire tumor. If the tumor cannot be completely removed without damaging vital brain tissue, your doctor may remove as much of the tumor as possible.
Brain surgery might sound like a frightening procedure, but it is quite safe. Doctors who carry out these surgeries are very skilled specialists. You can share any concerns with your doctors and cancer nurse specialist. They will be able to tell you what will happen during the operation.
The 5-year relative survival rate for people younger than age 15 is about 75%. For people age 15 to 39, the 5-year relative survival rate nears 72%. The 5-year relative survival rate for people age 40 and older is 21%.
You'll be sedated and sleepy while part of your skull is removed in the beginning of the surgery, and also when doctors reattach the skull at the end of the surgery. During the surgery, your anesthesiologist will stop administering the sedative medications and allow you to wake up.
Most people wake up a few hours after their brain surgery. But sometimes, your surgeon might decide to keep you asleep for a few days after surgery, to help you recover. They use sedatives to keep you asleep. While you are asleep, you might be breathing through a machine called ventilator.
This is a relatively painless procedure as the brain tissue itself cannot feel pain. Awake craniotomies may be performed more frequently for cases of low-grade glioma or brain metastases when the tumors are close to nearby structures. This helps to maximize tumor removal while avoiding neurologic complications.
It is safe to be active after brain surgery. You might have an increased risk of having a seizure – if you are unsure discuss this with your doctor or specialist nurse.
It can take some time to recover from your brain tumour operation. Everyone takes a different amount of time to recover. You might stay in hospital for around 3 to 10 days after surgery.
The surgical removal by and large is the most effective treatment of brain tumor. With early treatment, more than 85% of patients survive for 5 years. The chances of survival are dropped to 40 % in case of late-stage cancers, when the tumor is large and cannot be removed surgically.
How long will I be in intensive care? Traditionally, patients stay one night in intensive care and, if doing well, will be transferred out to a regular hospital room the next day. A majority of the IVs and monitors, such as the bladder catheter, are usually removed on the morning following surgery.
Brain tissue doesn't have any pain fibers, so while you may feel pressure or vibrations from the surgery, you shouldn't feel pain. We use a local anesthetic (similar to those used at a dentist's office) to numb the muscles, skin and bone that the surgeon has to cut through to get to the brain.
After your brain tumor surgery, you will likely spend the night in a neuro-critical care unit (NCCU) for observation. You may be connected to IVs, a heart monitor, a catheter and an oxygen mask. You will also have a dressing (bandage) on your head for a day or two.
Not everyone needs to have their hair shaved before surgery. It depends on where the tumour is and the type of operation you have. Ask your surgeon what is going to happen in your situation. If you do need to have your hair shaved, you might have part of your head shaved, or the whole head.
After a craniotomy, the bone flap will mend itself over time and partially heal back into the rest of the skull bone within 2 to 3 months. Full recovery can take a few months and depends on the underlying condition that was treated.
What are the survival rates for benign brain tumors? Survival for patients with benign tumors is usually much better but, in general, survival rates for all types of brain cancers, benign and malignant, are: About 70% in children. For adults, survival is related to age.
You may continue to feel confused and dizzy, and have speech problems, weakness in parts of the body and seizures. You and your family or carers may be surprised that you may feel worse than before the surgery and worry that you aren't recovering well. These side effects are normal and often improve with time.
GBM is a devastating brain cancer that can result in death in six months or less, if untreated; hence, it is imperative to seek expert neuro-oncological and neurosurgical care immediately, as this can impact overall survival.
Although the average life expectancy after diagnosis is 14 to 16 months, approximately 1% of patients survive at least 10 years. Currently, the longest anyone has survived a glioblastoma is more than 20 years and counting.
Depending on your age at diagnosis, the tumour may eventually cause your death. Or you may live a full life and die from something else. It will depend on your tumour type, where it is in the brain, and how it responds to treatment. Brain tumours can also be fast growing (high grade) and come back despite treatment.
These tumors are called inoperable or unresectable. If the tumor is inoperable, the doctor will recommend other treatment options that may also include a biopsy or removal of a portion of the tumor. Before surgery, talk with your health care team about the possible side effects from the specific surgery you will have.
It can sometimes be cured if caught early on, but a brain tumour often comes back and sometimes it isn't possible to remove it. Speak to your care team if you'd like to know what the outlook is for you, as it varies from person to person.