Preoperative Prediction of Communication Difficulties during Awake Craniotomy in Glioma Patients: A Retrospective Evaluation of 136 Cases at a Single Institution

• DOI: 10.2176/nmc.oa.2020-0232
• Publication Date: 2020-11-18T22:05:27Z
• Authors: Tomoyoshi KURIBARA; Yukinori AKIYAMA; Takeshi MIKAMI; Yusuke KIMURA; Katsuya KOMATSU; Rei ENATSU; Yasuyuki TOKINAGA; Nobuhiro MIKUNI
• Keywords: Awake craniotomy

Awake craniotomy has been widely performed in patients with glioma eloquent areas to minimize postoperative brain dysfunction. However, neurological examination awake is sometimes problematic due communication difficulties during the intraoperative period. We evaluated preoperative predictors of these for glioma. In all, 136 who underwent at our institution between January 2012 and 2020 were retrospectively evaluated. Patients divided into two groups (appropriately group inappropriately group) depending on their state period, relationship both clinical radiological characteristics assessed. The appropriately included 110 patients, 26 patients. Reasons inclusion insufficient wakefulness 15 restless 6, seizures 5. multivariate analysis, likelihood being was inversely correlated (odds ratio [OR], 0.23; 95% confidence interval [CI], 0.06–0.89; p = 0.033) positively left-sided lesions (OR, 7.31; CI, 1.54–34.62; 0.012). Both lack identified as risk factors Understanding may lead more appropriate determination eligibility craniotomy.