Published online Sep 26, 2021. doi: 10.12998/wjcc.v9.i27.8207
Peer-review started: April 19, 2021
First decision: June 23, 2021
Revised: July 9, 2021
Accepted: August 6, 2021
Article in press: August 6, 2021
Published online: September 26, 2021
Awake craniotomy has been widely used for tumor resection, epilepsy surgery, deep brain stimulation, and carotid endarterectomy. The report on awake artery malformation clipping is rare, especially for anesthesia management.
A 62-year-old female diagnosed with malformation of anterior cerebral artery at the right side. We clipped the artery malformation with intraoperative neuromonitoring (IONM) in awake craniotomy. Spontaneous respiration was maintained throughout the procedure by nasopharyngeal airway during the surgery success
The technique of monitoring anesthesia care can be performed successfully for the patient with IONM.
Core Tip: In this case, due to the patient’s strong request for the integrity of motor function, the neurosurgeon explained the advantages and disadvantages of different surgery plans to her. This patient chose the awake craniotomy finally. Awake cranio