What is Awake Craniotomy?

Awake craniotomy is a highly specialized craniotomy procedure and form of open brain surgery or open skull surgery, in which the patient remains awake for a specific period of time or until the surgery is completed.

When is the procedure recommended?

Awake craniotomy is performed in the following conditions:

• For specific types of seizures that cannot be controlled on medication
• For tumors or lesions situated in areas of the brain responsible for movement or speech
• For the treatment of Parkinson’s disease or tremors where deep brain stimulation is carried out
• In surgery for stiffness
• In some procedures for depression and other psychiatric conditions.

The procedure is an elegant method of preserving brain function, even in the most sensitive areas, yet allowing the surgeon to remove a part or the whole tumor.

What are the advantages of an awake craniotomy?

Awake craniotomies are:

• PAINLESS: No pain or discomfort will be experienced. The anesthetic team at Sakra World Hospital ensures a smooth procedure and enhanced recovery.
• SAFE: No risks to breathing or heart are tolerated. There is full monitoring during the surgery.
• ELEGANT: Not only does the procedure preserve function, but it also allows the neurosurgeon to deal with pathologies in areas of the brain considered taboo until recently. These procedures have revolutionized neurosurgery and reduced postoperative complications such as paralysis and loss of speech.
• LIFE-RENEWING: Surgery for Parkinson’s disease, as well as other chronic ailments, including psychiatric conditions, was considered impossible till now. With the advent of awake surgeries, new avenues of therapy have opened for those who were in deep pain and suffering, allowing them to live fuller and happier lives.

FAQs

Q1. When should a Parkinson’s patient consider surgery?

Surgery is usually considered when medications no longer effectively control the symptoms or cause serious side effects. Deep Brain Stimulation (DBS) is a common surgical option, often recommended in the mid to advanced stages of Parkinson’s disease.

Q2. What are the risks of an awake craniotomy?

Risks of an awake craniotomy include infection, bleeding, seizures, brain swelling, or temporary neurological issues. However, it allows doctors to monitor brain function in real time, reducing the risk of permanent damage during surgery near critical areas.

Q3. What is the best treatment for Parkinson's disease?

There’s no single “best” treatment. A combination of medications (like Levodopa), lifestyle changes, physiotherapy, and sometimes Deep Brain Stimulation offers the most effective management based on the patient’s condition and stage of the disease.

Q4. What are the treatment options for Parkinson’s disease?

Treatment options include medications to manage symptoms, physiotherapy, speech therapy, occupational therapy, and surgical treatments like Deep Brain Stimulation. Supportive care and a healthy lifestyle also play a crucial role in managing the disease.

Q5. Can physiotherapy help in Parkinson’s disease treatment?

Yes, physiotherapy is very helpful in Parkinson’s disease. It improves mobility, balance, posture, and strength, reducing the risk of falls. It also helps patients maintain independence and improves overall quality of life.