When a brain tumor is located near critical areas that control speech, motor skills, or other vital functions, removing it becomes a complex challenge. Traditionally, surgeries near these sensitive regions were riskier and could result in significant neurological damage. However, thanks to advancements in surgical techniques, awake brain surgery is now playing a crucial role in safely removing tumors in these high-risk areas.
At IGEA Brain, Spine & Orthopedics, we specialize in advanced neurosurgical techniques, including awake brain surgery, to give our patients the best chance for both complete tumor removal and minimal neurological impact.
What Is Awake Brain Surgery?
Awake brain surgery, also known as intraoperative neurophysiological monitoring, is a procedure in which the patient remains conscious during surgery. While the brain itself has no pain receptors, certain parts of the brain are responsible for motor control, speech, and sensory processing. During awake surgery, the patient is kept alert and responsive so that surgeons can precisely identify and avoid these critical regions.
This approach is particularly beneficial for tumors located near:
- Motor areas (affecting movement)
- Language centers (affecting speech and communication)
- Sensory areas (affecting sensation and perception)
Why Choose Awake Brain Surgery?
The decision to perform brain surgery while the patient is awake may sound daunting, but it offers several significant advantages, including:
- Real-Time Monitoring of Brain Function: During awake surgery, surgeons can directly stimulate areas of the brain to monitor responses. This allows them to avoid important functional regions, ensuring that the tumor is removed without compromising essential brain functions.
- Reduced Risk of Post-Surgical Deficits: Because the patient is awake and able to provide immediate feedback, surgeons can avoid damaging critical areas that may lead to speech, motor, or cognitive deficits. This real-time feedback helps preserve the brain’s natural functions.
- Better Tumor Removal: In cases where the tumor is located in a region of the brain that affects speech or movement, being awake enables the patient to perform tasks (such as speaking or moving fingers) while the surgeon assesses the functionality of those areas. This precise approach leads to more complete tumor removal with fewer complications.
- Lower Chance of Neurological Damage: Awake brain surgery reduces the chances of damaging essential areas of the brain by allowing for continuous interaction between the surgeon and patient, which is especially important when dealing with tumors near critical areas.
What Happens During the Procedure?
- Pre-Surgery Preparation: Before the surgery, the patient is given local anesthesia to numb the scalp and a sedative to keep them calm. The patient may also receive a mild painkiller to help them remain relaxed.
- Mapping the Brain: The surgeon uses advanced imaging techniques (like MRI or CT scans) to pinpoint the exact location of the tumor. Electrodes may be placed on the scalp to monitor brain activity during the surgery.
- During Surgery: While the patient remains awake, they may be asked to perform tasks such as speaking, moving their hands, or reacting to stimuli. This helps the surgeon identify vital brain areas that must be preserved. The tumor is then carefully removed under continuous monitoring.
- Post-Surgery Care: After the procedure, the patient may remain in the hospital for observation, but recovery time is generally quicker than with traditional surgeries. Follow-up care includes imaging and neuropsychological assessments to ensure that the tumor has been completely removed without affecting brain function.
Why IGEA Brain, Spine & Orthopedics?
At IGEA, our expert neurosurgeons are trained in the latest brain surgery techniques, including awake brain surgery. We use advanced technologies and collaborate with a multidisciplinary team to provide the safest, most effective treatment for patients with brain tumors near critical areas.
With our commitment to compassionate, patient-centered care, we guide patients through every step of the process—from diagnosis to post-surgery rehabilitation. Our goal is not only to remove the tumor but to ensure the best possible quality of life after surgery.
If You Have a Tumor Near Critical Brain Areas, We're Here to Help
If you or a loved one has been diagnosed with a brain tumor near sensitive areas of the brain, awake brain surgery may offer a safe and effective solution. Contact IGEA Brain, Spine & Orthopedics today to schedule a consultation and learn more about this groundbreaking surgical approach.
