Language improvement after awake craniotomy in a 12-year-old child: illustrative case.
J Neurosurg Case Lessons
; 3(24): CASE2293, 2022 Jun 13.
Article
em En
| MEDLINE
| ID: mdl-35733631
ABSTRACT
BACKGROUND:
Although the standard procedure to treat adult patients with lesions in eloquent brain areas is awake craniotomy with direct electrical stimulation, this procedure is not often used in children because of feasibility concerns. Some studies have shown that the procedure is feasible in children. They reported the postoperative language ability, which was not based on standardized language tests for children. To give an objective overview of preoperative assessment of the language ability of a child before and after this procedure, the authors described the perioperative course, including standardized language tests for children and the awake surgery setting, of a 12-year-old child undergoing awake craniotomy with brain mapping for the indication of cavernoma in the left somatosensory cortex close to the motor cortex. OBSERVATIONS The patient performed better on language tests after surgery, showing that his language ability improved. He also cooperated well during the entire perioperative period. His mother was present during the awake surgery, and the patient tolerated the surgery well. LESSONS The authors conclude that awake craniotomy is indeed feasible in a child and that it can even result in an improved postoperative language outcome. It is, however, crucial to carefully assess, inform, and monitor the child and their proxies.
CELF-5NL = Clinical Evaluation of Language Fundamentals 5; DIMA = Diagnostic Instrument for Mild Aphasia; DuLIP = Dutch Linguistic Intraoperative Protocol; EEG = electroencephalography; MRI = magnetic resonance imaging; awake craniotomy; brain mapping; language improvement; language testing; pediatrics
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MEDLINE
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En
Ano de publicação:
2022
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Article