The First Awake Craniotomy for Seizure Focus Resection in Iran 2016

Patient with refractory seizure may undergo awake craniotomy when the area to be resected is immediately adjacent to eloquent cortex. An awake craniotomy in a 30-year-old man was conducted using a scalp block, dexmedetomidine, and remifentanil infusion without any airway device throughout the proced...

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Main Authors:	Mohammadali Attari, Kamran Hozhabri
Format:	Article
Language:	English
Published:	Wolters Kluwer Medknow Publications 2018-01-01
Series:	Advanced Biomedical Research
Subjects:	Awake craniotomy dexmedetomidine seizure
Online Access:	http://www.advbiores.net/article.asp?issn=2277-9175;year=2018;volume=7;issue=1;spage=103;epage=103;aulast=Attari

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spelling	doaj-art-7c1b0e1d5def48b39fef8d13800a00162018-09-17T09:29:25ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752018-01-017110310310.4103/abr.abr_6_17The First Awake Craniotomy for Seizure Focus Resection in Iran 2016Mohammadali AttariKamran HozhabriPatient with refractory seizure may undergo awake craniotomy when the area to be resected is immediately adjacent to eloquent cortex. An awake craniotomy in a 30-year-old man was conducted using a scalp block, dexmedetomidine, and remifentanil infusion without any airway device throughout the procedure. Dexmedetomidine administered at a loading dose of 1 μg/kg and maintenance dose of 0.2–0.7 μg/kg/h. Remifentanil dose was 0.02 μg/kg/min. The patient remained comfortable and hemodynamically stable throughout the procedure. Cortical electrical stimulation revealed motor cortex overlapped with seizure focus. So that surgical procedure was limited to subpial resection of the epileptic focus. Dexmedetomidine with concurrent scalp block appears to be an useful sedation for awake craniotomy when sophisticated neurological test is required.http://www.advbiores.net/article.asp?issn=2277-9175;year=2018;volume=7;issue=1;spage=103;epage=103;aulast=AttariAwake craniotomydexmedetomidineseizure
institution	Open Data Bank
collection	Open Access Journals
building	Directory of Open Access Journals
language	English
format	Article
author	Mohammadali Attari Kamran Hozhabri
spellingShingle	Mohammadali Attari Kamran Hozhabri The First Awake Craniotomy for Seizure Focus Resection in Iran 2016 Advanced Biomedical Research Awake craniotomy dexmedetomidine seizure
author_facet	Mohammadali Attari Kamran Hozhabri
author_sort	Mohammadali Attari
title	The First Awake Craniotomy for Seizure Focus Resection in Iran 2016
title_short	The First Awake Craniotomy for Seizure Focus Resection in Iran 2016
title_full	The First Awake Craniotomy for Seizure Focus Resection in Iran 2016
title_fullStr	The First Awake Craniotomy for Seizure Focus Resection in Iran 2016
title_full_unstemmed	The First Awake Craniotomy for Seizure Focus Resection in Iran 2016
title_sort	first awake craniotomy for seizure focus resection in iran 2016
publisher	Wolters Kluwer Medknow Publications
series	Advanced Biomedical Research
issn	2277-9175
publishDate	2018-01-01
description	Patient with refractory seizure may undergo awake craniotomy when the area to be resected is immediately adjacent to eloquent cortex. An awake craniotomy in a 30-year-old man was conducted using a scalp block, dexmedetomidine, and remifentanil infusion without any airway device throughout the procedure. Dexmedetomidine administered at a loading dose of 1 μg/kg and maintenance dose of 0.2–0.7 μg/kg/h. Remifentanil dose was 0.02 μg/kg/min. The patient remained comfortable and hemodynamically stable throughout the procedure. Cortical electrical stimulation revealed motor cortex overlapped with seizure focus. So that surgical procedure was limited to subpial resection of the epileptic focus. Dexmedetomidine with concurrent scalp block appears to be an useful sedation for awake craniotomy when sophisticated neurological test is required.
topic	Awake craniotomy dexmedetomidine seizure
url	http://www.advbiores.net/article.asp?issn=2277-9175;year=2018;volume=7;issue=1;spage=103;epage=103;aulast=Attari
_version_	1612555997239312384

The First Awake Craniotomy for Seizure Focus Resection in Iran 2016

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