Awake craniotomy in an 11 year-old pediatric patient

Abstract

Awake craniotomy is the preferred method of anesthesia for resection of epileptic foci or lesions near elequent cortical areas and can be applied in pediatric patients. Appropriate patient selection and preoperative evaluation is important for awake craniotomy. Sedation under close monitoring is required with scalp block or infiltration of local anesthetics. Short-acting agents should be used for sedation, that allows the patient's neurological evaluation. In this pediatric case; we discussed our practice of anesthesia in a 11-year-old patient undergoing awake craniotomy in which we applied conscious sedation with remifentanil infusion following the infiltration of the incision line with a local anesthetic agent.