Awake far lateral craniotomy for resection of foramen magnum meningioma in a patient with tenuous motor and somatosensory evoked potentials

Amy R. Deipolyi, Seunggu J. Han, Michael E. Sughrue, Lawrence Litt, Andrew T. Parsa

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

We report a patient with an infratentorial lesion resected under a far-lateral approach during awake craniotomy to optimize intraoperative monitoring. A 72-year-old man presented with falls, difficulty walking, and lower extremity weakness. MRI revealed a 2.2 by 2.3 by 2.8 cm mass at the right cervicomedullary junction, with mass effect on the adjacent spinal cord. During two attempts during surgical positioning under general anesthesia, motor evoked potentials were lost. Each time the operation was aborted. During the third operation, the patient underwent monitored, light anaesthesia and was awakened periodically to confirm conscious motor function. The operation proceeded without complication, and postoperatively there was no further decrease in motor function. This is, to our knowledge, the first use of an awake operation for an infratentorial meningioma via the far-lateral approach, demonstrating the technique may be used safely and can be useful in optimizing motor function monitoring.

Original languageEnglish (US)
Pages (from-to)1254-1256
Number of pages3
JournalJournal of Clinical Neuroscience
Volume18
Issue number9
DOIs
StatePublished - Sep 1 2011

Keywords

  • Awake craniotomy
  • Far lateral approach
  • Meningioma
  • Motor-evoked potential

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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