Case report: Awake craniotomy during pregnancy for resection of glioblastoma

Gunasekaran, Arun Kumar; Kulbarsh, Kyle D.; Das, Arabinda; Voelkel‐Johnson, Christina; Patel, Sunil; Lindhorst, Scott; Yazdani, Milad; Barley, Jessica; Rowland, Nathan C.

doi:10.1016/j.clineuro.2022.107218

Cited by 6 publications

(25 citation statements)

References 25 publications

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“…The articles' information is summarized in Supplementary Table 2. Of the nine studies included, ve (55.6%) were from the USA [39][40][41][42][43],…”

Section: Resultsmentioning

confidence: 99%

“…Overall, nine patients with ten fetuses (one twin pregnancy reported by Meng et al [41]) were included (Table 1). Apart from one study (11.1%) which used AC for pseudoaneurysm [42], all other papers (88.9%) treated tumors via AC [39][40][41][43][44][45][46][47]. The awake-awake-awake approach was the most common protocol used in seven studies (77.8%) [40][41][42][43][45][46][47].…”

Section: Resultsmentioning

confidence: 99%

“…The mean age of patients was 29.8 ± 4.5 years old, with the youngest patient being 24 [43], and the oldest, 40 [39] (Table 2). One study (11.1%) did not specify the patient's age [42].…”

Section: Medicationsmentioning

confidence: 99%

“…Six (66.7%) lesions were in the left hemisphere [39-41, 43, 44, 46], whereas the other three (33.3%) were in the right hemisphere [42,45,47] (Table 3). The frontal lobe was the most common pathology region reported in four studies (44.4%) [39,43,44,47], followed by frontoparietal regions in two (22.2%) [41,45]. Temporal [40] and parietal [46] lobes pathologies were each reported in one study (11.1%).…”

Section: Medicationsmentioning

confidence: 99%

“…One (11.1%) study did not specify the pathologic lobe [42]. All studies employed intraoperative fetal monitoring, and seven studies (77.8%) speci ed fetal heart rate monitoring [39][40][41][42][43][44][45]. Two (22.2%) studies did not specify their type of monitoring [46,47].…”

Section: Medicationsmentioning

confidence: 99%

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Awake Craniotomy During Pregnancy: A Systematic Review of The Published Literature

Mofatteh

Mashayekhi

Arfaie

et al. 2023

Preprint

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Purpose Neurosurgical pathologies in pregnancy pose significant complications for the patient and fetus, and physiological stressors during anesthesia and surgery may lead to maternal and fetal complications. Awake craniotomy (AC) can preserve neurological functions while reducing exposure to anesthetic medications. We reviewed the literature investigating AC during pregnancy.Methods PubMed, Scopus, and Web of Science databases were searched from the inception to February 7th, 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Studies in English investigating AC in pregnant patients were included in the final analysis.Results Nine studies composed of nine pregnant patients and ten fetuses (one twin-gestating patient) were included. Glioma was the most common pathology reported in six (66.7%) patients. The frontal lobe was the most involved region (4 cases, 44.4%), followed by the frontoparietal region (2 cases, 22.2%). The awake-awake-awake approach was the most common protocol in seven (77.8%) studies. The shortest operation time was two hours, whereas the longest one was eight hours and 29 minutes. The mean gestational age at diagnosis was 13.6 ± 6.5 (2–22) and 19.6 ± 6.9 (9–30) weeks at craniatomy. Seven (77.8%) studies employed intraoperative fetal heart rate monitoring. None of the AC procedures was converted to general anesthesia. Ten healthy babies were delivered from patients who underwent AC.Conclusions In experienced hands, AC for resection of cranial lesions in pregnant patients is safe and feasible and does not alter the pregnancy outcome.

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“…The articles' information is summarized in Supplementary Table 2. Of the nine studies included, ve (55.6%) were from the USA [39][40][41][42][43],…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The mean age of patients was 29.8 ± 4.5 years old, with the youngest patient being 24 [43], and the oldest, 40 [39] (Table 2). One study (11.1%) did not specify the patient's age [42].…”

Section: Medicationsmentioning

confidence: 99%

Section: Medicationsmentioning

confidence: 99%

Section: Medicationsmentioning

confidence: 99%

See 3 more Smart Citations

Awake Craniotomy During Pregnancy: A Systematic Review of The Published Literature

Mofatteh

Mashayekhi

Arfaie

et al. 2023

Preprint

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Awake surgery for glioma resection during pregnancy: a systematic review

Bocanegra-Becerra,

Batista,

Costa Vieitas

et al. 2023

Neurosurg Rev

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Awake craniotomy during pregnancy: A systematic review of the published literature

Mofatteh,

Mashayekhi,

Arfaie

et al. 2023

Neurosurg Rev

View full text Add to dashboard Cite

Neurosurgical pathologies in pregnancy pose significant complications for the patient and fetus, and physiological stressors during anesthesia and surgery may lead to maternal and fetal complications. Awake craniotomy (AC) can preserve neurological functions while reducing exposure to anesthetic medications. We reviewed the literature investigating AC during pregnancy. PubMed, Scopus, and Web of Science databases were searched from the inception to February 7th, 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Studies in English investigating AC in pregnant patients were included in the final analysis. Nine studies composed of nine pregnant patients and ten fetuses (one twin-gestating patient) were included. Glioma was the most common pathology reported in six (66.7%) patients. The frontal lobe was the most involved region (4 cases, 44.4%), followed by the frontoparietal region (2 cases, 22.2%). The awake-awake-awake approach was the most common protocol in seven (77.8%) studies. The shortest operation time was two hours, whereas the longest one was eight hours and 29 min. The mean gestational age at diagnosis was 13.6 ± 6.5 (2—22) and 19.6 ± 6.9 (9—30) weeks at craniotomy. Seven (77.8%) studies employed intraoperative fetal heart rate monitoring. None of the AC procedures was converted to general anesthesia. Ten healthy babies were delivered from patients who underwent AC. In experienced hands, AC for resection of cranial lesions of eloquent areas in pregnant patients is safe and feasible and does not alter the pregnancy outcome.

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Case report: Awake craniotomy during pregnancy for resection of glioblastoma

Cited by 6 publications

References 25 publications

Awake Craniotomy During Pregnancy: A Systematic Review of The Published Literature

Awake Craniotomy During Pregnancy: A Systematic Review of The Published Literature

Awake surgery for glioma resection during pregnancy: a systematic review

Awake craniotomy during pregnancy: A systematic review of the published literature

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