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Awake Brain Surgery: Painless, Precise, and Preserves Identity
19 Feb
Summary
- Awake brain surgery removes lesions near critical brain areas.
- The procedure uses local anesthesia; the brain has no pain receptors.
- Real-time patient feedback enhances surgical accuracy and safety.

Awake brain surgery, also known as awake craniotomy, is a significant advancement in neurosurgery designed to treat disease while safeguarding essential functions that define an individual's identity. This specialized technique is recommended for patients with lesions or tumors situated near brain regions responsible for critical functions like speech and movement.
The procedure is not painful, as the brain itself lacks pain receptors. Local anesthesia numbs the scalp, and patients remain comfortable. During brain mapping and throughout the surgery, patients are prompted to perform simple tasks. This continuous feedback allows surgeons to monitor vital neural pathways in real-time.
This approach necessitates extensive teamwork among neurosurgeons, anesthetists, neurologists, and therapists. Patients undergo thorough pre-operative counseling to ensure preparedness and confidence. Misconceptions about pain and increased risk are unfounded, as real-time patient input actually decreases the likelihood of post-operative deficits.
Awake brain surgery redefines success by focusing on both medical outcomes and quality of life. A recent case successfully removed a lesion near speech and motor centers, preserving the patient's ability to speak and move, thereby restoring independence and dignity.



