Exploring Awake Brain Surgery

Brain Mapping is an advanced form of brain surgerythree-dimensional computer images as a guide in brain
or neurosurgical procedure which helps to identifymapping. This is especially critical as at present there
which parts of the brain control which functions ofis no way in which the brains connections can be
the body. This type of surgery is usually used fortracked using MRI (Magnetic Resonance Image)
those patients who are suffering from certain kindsscans.
of brain tumor or epileptic seizures (where theWhat a neuro surgeon does it maps the brain by
diseased tissue is close to areas of the brain thatmarking each area that he has identified as being a
control a person's vision, language and bodyfunction part of the brain and whilst surgery is taking
movements).place he will endeavor to precisely remove as much
Prior to surgery beginning the patient is sedated andof the damaged brain tissue as possible as shown on
numbing medications are used which ensure that thethe computer images and by the responses he
patient feels no pain during the procedure. Whilst thereceives from the patient being treated.
surgery is being carried out the patient's head isAnother option which can be used with certain kinds
placed in a comfortable fixed position (so to ensureof awake brain surgery is Stereotactic Radio Surgery
that the head is kept still and the brain surgery canand is usually used for patients suffering from
be completed accurately).epilepsy. With this kind of surgery the medical team
At a specific time during the surgery being carriedmay purposefully reproduce a seizure in a patient (in
the patient will be woken up and whilst the surgeona controlled setting) in order to help map out the
stimulates the patient's brain they will be askedbrain and identify the tissue that is affected by the
questions by a speech pathologist or asked toepileptic seizures the patient is suffering from.
complete a set of movements by a neurologist. InThe most critical factor of any kind of awake brain
some cases the patient may be asked to look at asurgery for the patient so that it is successful is that
set of cards and identify what objects appear onthey have a highly trained and experienced
them, other may be asked to count numbers whilstneuroanestesiologist who has been specifically trained
some may just be asked to raise a finger.in this field of surgery who can administer the
Both prior to the surgery taking place and whilst themedication so that the patient feels no pain whilst
surgery is taking place the medical team will usethe surgery takes place.