Keywords
Neurosurgery
Surgery
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Abstract
Objective: To develop a protocol for neurosurgery with resection of intra-axial supratentorial lesions using a cortico-subcortical monitoring technique in awake patients. Methods: Methodological, cross-sectional study, whose purpose was to develop and validate a protocol for neurosurgery in awake patients. Results: The procedures used to support the proposed protocol for neurosurgery in awake patients were described in detail and subsequently assessed and validated by three expert judges, accepting their suggestions and recommendations for improvement. Conclusion: Awake craniotomy with mapping has become the gold standard for safely maximizing the extent of tumor resection in eloquent brain areas. Cortical and subcortical mapping methods have been refined, and the technique is associated with a very low complication rate. The authors hope to contribute to the correct follow-up of these patients, aiming to improve their quality of life, through the development of a surgical protocol.
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