about en : It was done for the first time in the Golestan province

 | Post date: 2021/04/27 | 
 Successful awakening brain surgery for brain tumors is always associated with injuries such as paralysis of the limbs and impaired speech. Today, one of the newest surgical methods for these tumors is for the patient to be awake during surgery.
 In this way, the surgical team can control the patient's movements and speech, thus minimizing the possibility of nerve damage due to tumor evacuation. Due to the need for high knowledge and expertise in the brain surgery and anesthesia team, this procedure is performed only in a limited number of university centers in the country. Recently, this surgical procedure was performed for the first time in Golestan province for a young patient with a brain tumor at the 5 Azar Medical Center in Gorgan, and the result was fortunately successful.
According to Webda, Dr. Roozbeh Shams Amiri, a brain and spinal cord surgeon, stated in an interview:
Awake craniotomy, known scientifically as awake craniotomy, has been a well-known method in the history of brain surgery, but due to advances in anesthesia and intraoperative neuromonitoring in recent years, again for certain types of tumors in Sensitive areas of the brain are considered and used. Performing this surgical method requires knowledge and expertise in both areas of brain surgery and anesthesia, high also coordinated cooperation between the two, which has led to the use of this method is limited to a few university centers in Tehran, Shiraz, and Mashhad.
Our patient was a young man who came to me because of a seizure and subsequent weakness in his left limbs  After the necessary examinations, we found that the patient has a brain tumor in the vicinity of the right motor cortex, which surgery with the common methods is associated with a high risk of nerve damage and paralysis of the left limb  And the evaluation of the patient in the commission of the Department of Neurosurgery and Consensus with a colleague of anesthesiologist Dr. Babak Aghili and we concluded that the best method for the patient is to perform surgery with the "awake craniotomy" method.
  For this surgery, we first determined the exact location of the skull opening using an advanced neuronavigation system.  After opening the skull and protective curtain, the patient woke up completely. Tumor evaluation was performed using direct verbal and motor communication and neuromonitoring. That way, I was pretty sure the sensitive areas of the brain would not be damaged when the tumor was drained.  We talked to the patient during the operation and made sure that there was no verbal damage. Thank God, the patient also recovered well and was discharged two days after the surgery.
 This surgery shows the high ability of the neurosurgery group. We hope that the relevant authorities, with their support, will provide the conditions for this scientific method to be provided by providing up-to-date facilities and an experienced group to serve the other people of the province.