Conscious Experience and Psychological Consequences of Awake Craniotomy

Hejrati, Nader; Spieler, Derek; Samuel, Robin; Regli, Luca; Weyerbrock, Astrid; Surbeck, Werner

doi:10.1016/j.wneu.2019.05.156

Cited by 42 publications

(46 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the field of neurosurgery, there is a study on the psychological consequences of awake craniotomy. This prospective study found a positive correlation between preoperative anxiety according to the Hospital Anxiety and Depression Scale (HADS) and the NRS on the third postoperative day [20]. However, it is striking that, in this study, pain assessment was carried out at the third postoperative day, considering that the highest incidence of pain occurs on the first postoperative day, as we demonstrated in our study.…”

Section: Discussionmentioning

confidence: 45%

Effect of Preoperative Anxiety on Postoperative Pain after Craniotomy

Valencia

Becerra

Ojeda

et al. 2022

JCM

View full text Add to dashboard Cite

Pain following craniotomy is challenging. Preoperative anxiety can be one of the controllable factors for prevention of post-craniotomy pain. The main objective of this prospective observational study is to determine this relationship in patients undergoing scheduled craniotomy from February to June 2021. After excluding patients with Mini-Mental State Examination (MMSE) ≤ 24 points, we administered a preoperative State Trait Anxiety Inventory (STAI) questionnaire. We recorded the patient’s analgesic assessment using the Numerical Rating Score (NRS) at 1, 8, 24, and 48 h after surgery. A total of 73 patients were included in the study. Twelve others were excluded due to a MMSE ≤ 24 points. The main predictors for NRS postoperatively at 1, 8, 24, and 48 h were STAI A/E score, male gender, youth, and depression. We identified a cut-off point of 24.5 in STAI A/E for predicting a NRS > 3 (sensitivity 82% and specificity 65%) at 24 h postoperative and a cut-off of 31.5 in STAI A/R (sensitivity 64% and specificity 77%). In conclusion, preoperative STAI scores could be a useful tool for predicting which patient will experience at least moderate pain after craniotomy. The identification of these patients may allow us to highlight psychological preparation and adjuvant analgesia.

show abstract

Section: Discussionmentioning

confidence: 45%

Effect of Preoperative Anxiety on Postoperative Pain after Craniotomy

Valencia

Becerra

Ojeda

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…Prolonged adjustment reactions can develop into major depressive episodes. Finally, patients undergoing major surgical procedures experience increased fear and anxiety, which is even more evident during awake craniotomy procedures [36].…”

Section: Discussionmentioning

confidence: 99%

Association of Low-Grade Glioma Diagnosis and Management Approach with Mental Health Disorders: A MarketScan Analysis 2005–2014

Bhanja

Tuohy

et al. 2022

Cancers

View full text Add to dashboard Cite

Low-grade gliomas (LGGs) comprise 13–16% of glial tumors. As survival for LGG patients has been gradually improving, it is essential that the effects of diagnosis and disease progression on mental health be considered. This retrospective cohort study queried the IBM Watson Health MarketScan® Database to describe the incidence and prevalence of mental health disorders (MHDs) among LGG patients and identify associated risk factors. Among the 20,432 LGG patients identified, 12,436 (60.9%) had at least one MHD. Of those who never had a prior MHD, as documented in the claims record, 1915 (16.7%) had their first, newly diagnosed MHD within 12 months after LGG diagnosis. Patients who were female (odds ratio (OR), 1.14, 95%, 1.03–1.26), aged 35–44 (OR, 1.20, 95%, 1.03–1.39), and experienced glioma-related seizures (OR, 2.19, 95%, confidence intervals (CI), 1.95–2.47) were significantly associated with MHD incidence. Patients who underwent resection (OR, 2.58, 95% CI, 2.19–3.04) or biopsy (OR, 2.17, 95% CI, 1.68–2.79) were also more likely to develop a MHD compared to patients who did not undergo a first-line surgical treatment. These data support the need for active surveillance, proactive counseling, and management of MHDs in patients with LGG. Impact of surgery on brain networks affecting mood should also be considered.

show abstract

“…Moreover, preoperative fear and anxiety levels may be exhibited among SDE patients prior to a craniotomy, adding an element of psychological stress to the procedure. 51) On the other hand, psychological studies of patients’ post-SEEG implantation is very limited. SEEG procedures may not present preoperative fear or anxiety, yet the prospect of being seizure free may not always lead to positive psychological benefits.…”

Section: Seegmentioning

confidence: 99%

Stereoelectroencephalography versus Subdural Electrode Implantation to Determine Whether Patients with Drug-resistant Epilepsy Are Candidates for Epilepsy Surgery

Jarrah

Doan

Shields

et al. 2021

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

Epilepsy is a chronic condition that affects about 50 million individuals worldwide. While its challenges are profound, there are increasing instances where antiepileptic drugs (AEDs) fail to provide relief to epileptic manifestations. For these pharmacoresistant cases, epilepsy surgery often is an effective route for treatment. However, the complexity and challenges associated with presurgical evaluations have prevented more widespread utilization of epilepsy surgery in pharmacoresistant cases. While preliminary work-ups and non-invasive diagnostic imaging have allowed for limited identification of the epileptogenic zone (EZ), there is yet to be an established pre-determined algorithm for surgical evaluation of patients with epilepsy. However, two modalities are currently being used for localization of the EZ and in determining candidates for surgery: stereoelectroencephalography (SEEG) and subdural electrodes (SDEs). SDE has been used in the United States for decades; however, SEEG now provides a less invasive option for mapping brain regions. We seek to address which intracranial monitoring technique is superior. Through a review of the outcomes of various clinical studies, SEEG was found to have greater safety and efficiency benefits than SDE, such as lower morbidity rates, lower prevalence of neurological deficits, and shorter recovery times. Moreover, SEEG was also found to have further functional benefits by allowing for deeper targeting of cerebral tissue along with bilateral hemispheric monitoring. This has led to increased rates of seizure freedom and control among SEEG patients. Nevertheless, further studies on the limitations and advancements of SEEG and SDE are still required to provide a more comprehensive understanding regarding their application.

show abstract

Conscious Experience and Psychological Consequences of Awake Craniotomy

Cited by 42 publications

References 30 publications

Effect of Preoperative Anxiety on Postoperative Pain after Craniotomy

Effect of Preoperative Anxiety on Postoperative Pain after Craniotomy

Association of Low-Grade Glioma Diagnosis and Management Approach with Mental Health Disorders: A MarketScan Analysis 2005–2014

Stereoelectroencephalography versus Subdural Electrode Implantation to Determine Whether Patients with Drug-resistant Epilepsy Are Candidates for Epilepsy Surgery

Contact Info

Product

Resources

About