Asleep-awake-asleep craniotomy in patients with epilepsy: Two cases report.
DOI:
https://doi.org/10.56935/hij.v1i2.15Keywords:
Craneotomía, Cirugía Dormido-Despierto-Dormido, Epilepsia, NeurocirugíaAbstract
The asleep-awake-asleep surgery is a growing anesthetic technique, which is used in craniotomy procedures in order to allow the surgeon to explore the epileptogenic areas of the brain with the purpose of removing them effectively and safely, protecting the patient from possible complications that otherwise could not be evidenced in the transoperative period. In the present work we present two clinical cases of patients with epilepsy in whom the asleep-awake-asleep (DDD) technique was performed. By means of clinical evaluation and MRI with spectroscopy and contrasted MRI, the epileptic foci were located. Both patients were operated by awake-sleep-awake craniotomy, with a short postoperative stay, without complications in the transoperative and postoperative period. Both showed a significant reduction in seizure frequency three months after the surgical procedure.
References
Ali, M. Z., Fadel, N. A., & Abouldahab, H. A. (2009). Awake craniotomy versus general anesthesia for managing eloquent cortex low-grade gliomas. Neurosciences (Riyadh, Saudi Arabia), 14(3), 263–272. http://www.ncbi.nlm.nih.gov/pubmed/21048628
Boon, P., Ferrao Santos, S., Jansen, A. C., Lagae, L., Legros, B., & Weckhuysen, S. (2021). Recommendations for the treatment of epilepsy in adult and pediatric patients in Belgium: 2020 update. Acta Neurologica Belgica, 121(1), 241–257. https://doi.org/10.1007/s13760-020-01488-y DOI: https://doi.org/10.1007/s13760-020-01488-y
Daniel, R., Souza, M. R. De, Pipek, L. Z., Fagundes, C. F., Solla, D. J. F., Carlos, G., Godoy, D. A., Kolias, A. G., Luis, R., Amorim, O., & Paiva, W. S. (2022). External validation of the Glasgow coma scale-pupils in low- to middle-income country patients with traumatic brain injury: Could “ motor score-pupil ” have higher prognostic value ? Surgical Neurology International, 13(510). https://doi.org/10.25259/SNI DOI: https://doi.org/10.25259/SNI_737_2022
Duffau, H., & Mandonnet, E. (2013). The “onco-functional balance” in surgery for diffuse low-grade glioma: Integrating the extent of resection with quality of life. Acta Neurochirurgica, 155(6), 951–957. https://doi.org/10.1007/s00701-013-1653-9 DOI: https://doi.org/10.1007/s00701-013-1653-9
Dymond AM,Sweizig JR, Crandall PH, H. J. (1971). Clinical application of an EEG radio telemetry system. Proc. Rocky Mountain Bioengineering Symposium, 16–20.
Engel, J. (2019). Evolution of concepts in epilepsy surgery*. Epileptic Disorders, 21(5), 391–409. https://doi.org/10.1684/epd.2019.1091
Engel, J., Van Ness, P., TB, R., & LM, O. (1993). Outcome with respect to epileptic seizures. In Engel J Jr (Ed.), Outcome with respect to epileptic seizures. (2nd ed., pp. 609–621). Raven Press.
Englot, D. J., Morgan, V. L., & Chang, C. (2020). Impaired vigilance networks in temporal lobe epilepsy: Mechanisms and clinical implications. Epilepsia, 61(2), 189–202. https://doi.org/10.1111/epi.16423 DOI: https://doi.org/10.1111/epi.16423
Eseonu, C. I., Rincon-Torroella, J., ReFaey, K., Lee, Y. M., Nangiana, J., Vivas-Buitrago, T., & Quiñones-Hinojosa, A. (2017). Awake Craniotomy vs Craniotomy Under General Anesthesia for Perirolandic Gliomas: Evaluating Perioperative Complications and Extent of Resection. Neurosurgery, 81(3), 481–489. https://doi.org/10.1093/NEUROS/NYX023 DOI: https://doi.org/10.1093/neuros/nyx023
Esumi, S., Ushio, S., & Zamami, Y. (2022). Polypharmacy in Older Adults with Alzheimer’s Disease. Medicina (Lithuania), 58(10), 1–9. https://doi.org/10.3390/medicina58101445 DOI: https://doi.org/10.3390/medicina58101445
Falco-Walter, J. (2020). Epilepsy-Definition, Classification, Pathophysiology, and Epidemiology. Seminars in Neurology, 40(6), 617–623. https://doi.org/10.1055/s-0040-1718719 DOI: https://doi.org/10.1055/s-0040-1718719
Fick, D. M., Semla, T. P., Steinman, M., Beizer, J., Brandt, N., Dombrowski, R., DuBeau, C. E., Pezzullo, L., Epplin, J. J., Flanagan, N., Morden, E., Hanlon, J., Hollmann, P., Laird, R., Linnebur, S., & Sandhu, S. (2019). American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. Journal of the American Geriatrics Society, 67(4), 674–694. https://doi.org/10.1111/jgs.15767 DOI: https://doi.org/10.1111/jgs.15767
Gerritsen, J. K. W., Viëtor, C. L., Rizopoulos, D., Schouten, J. W., Klimek, M., Dirven, C. M. F., & Vincent, A. J. P. E. (2019). Awake craniotomy versus craniotomy under general anesthesia without surgery adjuncts for supratentorial glioblastoma in eloquent areas: a retrospective matched case-control study. Acta Neurochirurgica, 161(2), 307–315. https://doi.org/10.1007/S00701-018-03788-Y/METRICS DOI: https://doi.org/10.1007/s00701-018-03788-y
Gibbs FA, Gibbs EL, L. W. (1938). Cerebral dysrhythmias of epilepsy. In Arch Neurol Psychiatr (Vol. 39). DOI: https://doi.org/10.1001/archneurpsyc.1938.02270020088007
Gilani, J., Bakhshi, S. K., Baig, E., Laghari, A. A., Khan, D. A., Junaid, M., Nathani, K., Shafiq, F., Shamim, M. S., Khan, S. A., & Enam, S. A. (2022). Awake Craniotomy vs General Anesthesia for Excision of Brain Tumors: First Case-control Study from a Low-and-middle-income Country (P1-1.Virtual). Neurology, 98(18 Supplement), 797. http://n.neurology.org/content/98/18_Supplement/797.abstract DOI: https://doi.org/10.1212/WNL.98.18_supplement.797
Hande, V. H., Gunasekaran, H., Hegde, S., Shashidhar, A., & Arimappamagan, A. (2021). Role of Clinical Neuropsychologists in Awake-Craniotomy. Neurology India, 69(3), 711–716. https://doi.org/10.4103/0028-3886.319237 DOI: https://doi.org/10.4103/0028-3886.319237
Henning, O., Heuser, K., Larsen, V. S., Kyte, E. B., Kostov, H., Marthinsen, P. B., Egge, A., Alfstad, K., & Nakken, K. O. (2023). Temporal lobe epilepsy. Tidsskrift for Den Norske Legeforening, 143(2). https://doi.org/10.4045/TIDSSKR.22.0369 DOI: https://doi.org/10.4045/tidsskr.22.0369
Hervey-Jumper, S. L., & Berger, M. S. (2016). Maximizing safe resection of low- and high-grade glioma. Journal of Neuro-Oncology, 130(2), 269–282. https://doi.org/10.1007/s11060-016-2110-4 DOI: https://doi.org/10.1007/s11060-016-2110-4
Kim, S. H., & Choi, S. H. (2020). Anesthetic considerations for awake craniotomy. Anesthesia and Pain Medicine, 15(3), 269–274. https://doi.org/10.17085/apm.20050 DOI: https://doi.org/10.17085/apm.20050
Korkar, G. H., Isnard, J., Montavont, A., Catenoix, H., Rheims, S., & Guénot, M. (2021). Awake craniotomy for epilepsy surgery on eloquent speech areas: a single-centre experience. Epileptic Disorders, 23(2), 347–356. https://doi.org/10.1684/epd.2021.1275 DOI: https://doi.org/10.1684/epd.2021.1275
Kwilas, A. R., Donahue, R. N., Tsang, K. Y., & Hodge, J. W. (2015). 乳鼠心肌提取 HHS Public Access. Cancer Cell, 2(1), 1–17. https://doi.org/10.1111/epi.16423.Impaired
Kwinta, B. M., Myszka, A. M., Bigaj, M. M., Krzyżewski, R. M., & Starowicz-Filip, A. (2021). Intra- and postoperative adverse events in awake craniotomy for intrinsic supratentorial brain tumors. Neurological Sciences, 42(4), 1437–1441. https://doi.org/10.1007/s10072-020-04683-0 DOI: https://doi.org/10.1007/s10072-020-04683-0
Larkin, C. M., O’Brien, D. F., & Maheshwari, D. (2019). Anaesthesia for epilepsy surgery. BJA Education, 19(12), 383–389. https://doi.org/10.1016/j.bjae.2019.08.001 DOI: https://doi.org/10.1016/j.bjae.2019.08.001
Macewen W. (1879). Tumour of the dura matter removed during life in a person affected with epilepsy. Glasgow Medical Journal, 12, 210.
Maesawa, S., Nakatsubo, D., Fujii, M., Iijima, K., Kato, S., Ishizaki, T., Shibata, M., & Wakabayashi, T. (2018). Application of awake surgery for epilepsy in clinical practice. Neurologia Medico-Chirurgica, 58(10), 442–452. https://doi.org/10.2176/nmc.oa.2018-0122 DOI: https://doi.org/10.2176/nmc.oa.2018-0122
Milian, M., Luerding, R., Ploppa, A., Decker, K., Psaras, T., Tatagiba, M., Gharabaghi, A., & Feigl, G. C. (2013). “Imagine your neighbor mows the lawn”: A pilot study of psychological sequelae due to awake craniotomy. Journal of Neurosurgery, 118(6), 1288–1295. https://doi.org/10.3171/2013.2.JNS121254 DOI: https://doi.org/10.3171/2013.2.JNS121254
Motomura, K., Chalise, L., Ohka, F., Aoki, K., Tanahashi, K., Hirano, M., Nishikawa, T., Wakabayashi, T., & Natsume, A. (2018). Supratotal Resection of Diffuse Frontal Lower Grade Gliomas with Awake Brain Mapping, Preserving Motor, Language, and Neurocognitive Functions. World Neurosurgery, 119, 30–39. https://doi.org/10.1016/j.wneu.2018.07.193 DOI: https://doi.org/10.1016/j.wneu.2018.07.193
Norden, A. D., & Blumenfeld, H. (2002). The role of subcortical structures in human epilepsy. Epilepsy and Behavior, 3(3), 219–231. https://doi.org/10.1016/S1525-5050(02)00029-X DOI: https://doi.org/10.1016/S1525-5050(02)00029-X
Núñez-Velasco, S., Avendaño-Méndez-Padilla, J., García-Iturbide, R., Pech-Cervantes, C. H., Molina-Martínez, C. A., & Mejía-Pérez, S. (2019). Awake surgery with cortical-subcortical mapping in diffuse gliomas adjacent to central lobe. Report of two cases and literature review. Cirugia y Cirujanos (English Edition), 87(4), 459–465. https://doi.org/10.24875/CIRU.18000753 DOI: https://doi.org/10.24875/CIRU.18000753
Núñez-Velasco, S., Moreno-Jiménez, S., Padilla, J. A.-M., Gómez-Amador, J. L., Navarro-Bonet, J., García-Iturbide, R., Molina-Martínez, C. A., Pech-Cervantes, C. H., Pérez-Castillo, A., Lucio-Soria, J., Ochoa-Martínez, E. E., Arellano-Reynoso, A., & Mejía-Pérez, S. (2020). Primera guía mexicana multidisciplinaria para cirugía con paciente despierto y mapeo eléctrico directo en el tratamiento de lesiones cerebrales en áreas elocuentes. Archivos de Neurociencias, 25(1), 6–18. https://doi.org/10.31157/archneurosciencesmex.v25i1.191 DOI: https://doi.org/10.31157/archneurosciencesmex.v25i1.191
Pazan, F., & Wehling, M. (2021). Polypharmacy in older adults: a narrative review of definitions, epidemiology and consequences. European Geriatric Medicine, 12(3), 443–452. https://doi.org/10.1007/s41999-021-00479-3 DOI: https://doi.org/10.1007/s41999-021-00479-3
Penfield W, J. H. (1954). Epilepsy and the Functional Anatomyof the Human Brain. Little, Brown & Co. DOI: https://doi.org/10.1097/00007611-195407000-00024
Poblano-Verástegui, O., Bautista-Morales, A. C., Acosta-Ruíz, O., Gómez-Cortez, P. M., & Saturno-Hernández, P. J. (2020). Polifarmacia en México: un reto para la calidad en la prescripción. Salud Publica de Mexico, 62(6), 859–867. https://doi.org/10.21149/11919 DOI: https://doi.org/10.21149/11919
Rai, S. S., & Olson, J. J. (2023). Commentary: Stress, Anxiety, and Depression Associated With Awake Craniotomy: A Systematic Review. Neurosurgery, 92(2), e14. https://doi.org/10.1227/neu.0000000000002244 DOI: https://doi.org/10.1227/neu.0000000000002244
Ramírez-Segura, E. H., & Bataz-Pita, B. Y. (2022). Perioperative approach in neurological surgery with the patient awake. Revista Mexicana de Anestesiologia, 45(2), 114–120. https://doi.org/10.35366/103886 DOI: https://doi.org/10.35366/103886
Sang, S., Wanggou, S., Wang, Z., Lin, X., Jiang, N., Ye, N., & Li, X. (2018). Clinical Long-Term Follow-Up Evaluation of Functional Neuronavigation in Adult Cerebral Gliomas. World Neurosurgery, 119, e262–e271. https://doi.org/10.1016/j.wneu.2018.07.127 DOI: https://doi.org/10.1016/j.wneu.2018.07.127
Sitnikov, A. R., Grigoryan, Y. A., & Mishnyakova, L. P. (2018). Awake craniotomy without sedation in treatment of patients with lesional epilepsy. Surgical Neurology International, 9(1). https://doi.org/10.4103/sni.sni_24_18 DOI: https://doi.org/10.4103/sni.sni_24_18
Smith, M. C., Klein, P., Krauss, G. L., Rashid, S., Seiden, L. G., Stern, J. M., & Rosenfeld, W. E. (2022). Dose Adjustment of Concomitant Antiseizure Medications During Cenobamate Treatment: Expert Opinion Consensus Recommendations. Neurology and Therapy, 11(4), 1705–1720. https://doi.org/10.1007/s40120-022-00400-5 DOI: https://doi.org/10.1007/s40120-022-00400-5
Solernou Ferrer, A. J., Rodríguez López, G., Cruz Pérez, P., López Arbolay, O., Ortiz Machín, M., & Elizondo Barriel, L. M. (2021). Intervención psicológica para la neurocirugía con el paciente despierto. Presentación de dos casos. Anales de La Academia de Ciencias de Cuba, 11(3), e961. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2304-01062021000300025
Stålnacke, M., Bergenheim, T., & Sjöberg, R. L. (2021). Neuropsychological function and quality of life after resection of suspected lower-grade glioma in the face primary motor area. Journal of Clinical Medicine, 10(4), 1–13. https://doi.org/10.3390/jcm10040580 DOI: https://doi.org/10.3390/jcm10040580
Taghy, N., Cambon, L., Cohen, J. M., & Dussart, C. (2020). Failure to reach a consensus in polypharmacy definition: An obstacle to measuring risks and impacts—results of a literature review. Therapeutics and Clinical Risk Management, 16, 57–73. https://doi.org/10.2147/TCRM.S214187 DOI: https://doi.org/10.2147/TCRM.S214187
Terman, S. W., Aubert, C. E., Hill, C. E., Maust, D. T., Betjemann, J. P., Boyd, C. M., & Burke, J. F. (2020). Polypharmacy in patients with epilepsy: A nationally representative cross-sectional study. Epilepsy & Behavior, 111, 107261. https://doi.org/10.1016/J.YEBEH.2020.107261 DOI: https://doi.org/10.1016/j.yebeh.2020.107261
Uribe, A. A., Stoicea, N., Echeverria-Villalobos, M., Todeschini, A. B., Esparza Gutierrez, A., Folea, A. R., & Bergese, S. D. (2021). Postoperative Nausea and Vomiting after Craniotomy: An Evidence-based Review of General Considerations, Risk Factors, and Management. Journal of Neurosurgical Anesthesiology, 33(3), 212–220. https://doi.org/10.1097/ANA.0000000000000667 DOI: https://doi.org/10.1097/ANA.0000000000000667
Vinti, V., Dell’Isola, G. B., Tascini, G., Mencaroni, E., Cara, G. Di, Striano, P., & Verrotti, A. (2021). Temporal Lobe Epilepsy and Psychiatric Comorbidity. Frontiers in Neurology, 12(November), 1–8. https://doi.org/10.3389/fneur.2021.775781 DOI: https://doi.org/10.3389/fneur.2021.775781
Zech, N., Seemann, M., Luerding, R., Doenitz, C., Zeman, F., Cananoglu, H., Kees, M. G., & Hansen, E. (2021). Neurocognitive Impairment After Propofol With Relevance for Neurosurgical Patients and Awake Craniotomies—A Prospective Observational Study. Frontiers in Pharmacology, 12(February), 1–9. https://doi.org/10.3389/fphar.2021.632887 DOI: https://doi.org/10.3389/fphar.2021.632887
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