Awake Craniotomy with Functional Mapping for Glioma Resection in a Limited-Resource-Setting: Preliminary Experience from a Lower-Middle Income Country

Benyaich, Zakariae; Hajhouji, Farouk; Laghmari, Mehdi; Ghannane, H.; Aniba, K.; Lmejjati, M.; Benali, S. Aït

doi:10.1016/j.wneu.2020.04.039

Cited by 19 publications

(33 citation statements)

References 35 publications

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“…It is due to these benefits that make AC a resource-conservative treatment modality. There have been studies in LMICs that highlight the feasibility and successes of AC in resource-limited countries [ 11 ]. In a study by Howe et al, AC was taught and sustainably implemented in six centers located in four countries; Indonesia, Ghana, Nigeria, and China.…”

Section: Discussionmentioning

confidence: 99%

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Awake Craniotomy for Resection of Cerebral Arteriovenous Malformation: Initial Experience From a Low- and Middle-Income Country

Bakhshi¹,

Ather²,

Tariq³

et al. 2021

Cureus

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Section: Discussionmentioning

confidence: 99%

“…While there have been some studies in the developed countries that highlight the benefits of AC in treating AVMs, there are no data from resource-limited countries, as most of them have been done on patients with brain tumors [ 11 - 13 ]. In our study, we describe the success of AC in excising AVMs in an LMIC.…”

Section: Discussionmentioning

confidence: 99%

Awake Craniotomy for Resection of Cerebral Arteriovenous Malformation: Initial Experience From a Low- and Middle-Income Country

Bakhshi¹,

Ather²,

Tariq³

et al. 2021

Cureus

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“…Outcomes of interest included overall complication rate as well as specific complications such as intracranial hemorrhage, SSI/wound dehiscence, cerebrospinal fluid (CSF) leak, and venous thromboembolism (VTE). Papers with the necessary data to determine these outcomes were eligible for meta-analyses ( n = 30; References [ 1 , 2 , 4 , 6 – 11 , 13 , 14 , 16 – 19 , 21 , 22 , 24 , 27 , 32 – 35 , 37 , 39 , 40 , 42 , 43 , 45 ]).…”

Section: Methodsmentioning

confidence: 99%

Reducing complication rates for repeat craniotomies in glioma patients: a single-surgeon experience and comparison with the literature

et al. 2021

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Background There is a concern that glioma patients undergoing repeat craniotomies are more prone to complications. The study’s goal was to assess if the complication profiles for initial and repeat craniotomies were similar, to determine predictors of complications, and to compare results with those in the literature. Methods A retrospective study was conducted of glioma patients (WHO grade II–IV) who underwent either an initial or repeat craniotomy performed by the senior author from 2012 until 2019. Complications were recorded by discharge, 30 days, and 90 days postoperatively. New neurologic deficits were recorded by 90 days postoperatively. Multivariate regression was performed to identify factors associated with complications. A meta-analysis was performed to identify rates of complications based on number of prior craniotomies. Results Within the cohort of 714 patients, 400 (56%) had no prior craniotomies, 218 (30.5%) had undergone 1 prior craniotomy, and 96 (13.5%) had undergone ≥ 2 prior craniotomies. There were 27 surgical and 10 medical complications in 30 patients (4.2%) and 19 reoperations for complications in 19 patients (2.7%) with no deaths by 90 days. Complications, reoperation rates, and new neurologic deficits did not differ based on number of prior craniotomies. On multivariate analysis, older age (OR1.5, 95%CI 1.0–2.2) and significant leukocytosis due to steroid use (OR12.6, 95%CI 2.5–62.9) were predictors of complications. Complication rates in the cohort were lower than rates reported in the literature. Conclusion Contrary to prior reports in the literature, repeat craniotomies can be as safe as initial operations if surgeons implement best practices.

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“…Diagnosis and subsequent management decisions require the use of advanced and costly imaging modalities, which are not available in many resource limited settings. Though basic neuroimaging tools such as computerized tomography (CT) scan and magnetic resonance imaging (MRI) are being acquired widely, they are distributed unevenly, along with the already poor neurosurgical workforce [ 9 ]. Gross total resection is also a daunting task because of the absence of supportive technology.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, infrastructural deficiencies limit service delivery. For example, only 10% of awake craniotomy LGG operations are done in optimal conditions [ 9 ], and there is a significant deficit in the literature on neurosurgical care for LGGs in Africa [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Management and Outcomes of Low-Grade Gliomas in Africa: A Scoping Review Protocol

Ooi¹,

Koning²,

Egiz³

et al. 2022

International Journal of Surgery Protocols

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Background: Over the last decade, many advancements have been made in the management of low-grade gliomas (LGGs). Overall survival outcomes are correlated with factors such as postoperative residual volumes and specific tumor biomolecular profiles such as IDH mutation status. It is unclear whether these advancements have benefited LGG patients in Africa. This scoping review protocol outlines how the authors will evaluate the epidemiology, presentations, management and outcomes of LGGs in Africa.Methods: MEDLINE, Embase and African Journals Online will be searched from database inception to date in order to identify the relevant studies. Patients of all ages with histologically and/or radiologically confirmed LGGs that were managed in an African country will be included. Surgical and chemoradiation management of LGG tumours will be considered. Original research, reviews, commentaries, editorials and case reports will be included.Results: Primary outcomes of the review will include LGG management, morbidity and mortality. Secondary outcomes include epidemiology and recurrence of LGGs.Discussion: This scoping review will be the first to evaluate the current landscape of LGG management and outcomes in Africa, highlighting pertinent themes that may be used to guide further research as well as health system strengthening efforts by policymakers and stakeholders.

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Awake Craniotomy with Functional Mapping for Glioma Resection in a Limited-Resource-Setting: Preliminary Experience from a Lower-Middle Income Country

Cited by 19 publications

References 35 publications

Awake Craniotomy for Resection of Cerebral Arteriovenous Malformation: Initial Experience From a Low- and Middle-Income Country

Awake Craniotomy for Resection of Cerebral Arteriovenous Malformation: Initial Experience From a Low- and Middle-Income Country

Reducing complication rates for repeat craniotomies in glioma patients: a single-surgeon experience and comparison with the literature

Management and Outcomes of Low-Grade Gliomas in Africa: A Scoping Review Protocol

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