The role of awake craniotomy in reducing intraoperative visual field deficits during tumor surgery

Objective: Homonymous hemianopia due to damage to the optic radiations or visual cortex is a possible consequence of tumor resection involving the temporal or occipital lobes. The purpose of this review is to present and analyze a series of studies regarding the use of awake craniotomy (AC) to decrease visual field deficits following neurosurgery. Materials and Methods: A literature search was performed using the Medline and PubMed databases from 1970 and 2014 that compared various uses of AC other than intraoperative motor/somatosensory/language mapping with a focus on visual field mapping. Results: For the 17 patients analyzed in this study, 14 surgeries resulted in quadrantanopia, 1 in hemianopia, and 2 without visual deficits. Overall, patient satisfaction with AC was high, and AC was a means to reduce surgery-related complications and cost related with the procedure. Conclusion: AC is a safe and tolerable procedure that can be used effectively to map optic radiations and the visual cortices in order to preserve visual function during resection of tumors infiltrating the temporal and occipital lobes. In the majority of cases, a homonymous hemianopia was prevented and patients were left with a quadrantanopia that did not interfere with daily function.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
The role of awake craniotomy in reducing intraoperative visual field deficits during tumor surgery ; volume:10 ; number:03 ; year:2015 ; pages:139-144
Asian journal of neurosurgery ; 10, Heft 03 (2015), 139-144

Beteiligte Personen und Organisationen
Wolfson, Racheal
Soni, Neil
Shah, Ashish
Hosein, Khadil
Sastry, Ananth
Bregy, Amade
Komotar, Ricardo

DOI
10.4103/1793-5482.161189
URN
urn:nbn:de:101:1-2022120110232684866506
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:37 MESZ

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Beteiligte

  • Wolfson, Racheal
  • Soni, Neil
  • Shah, Ashish
  • Hosein, Khadil
  • Sastry, Ananth
  • Bregy, Amade
  • Komotar, Ricardo

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