Our Summary

The research paper discusses the use of an electromagnetic navigation system (specifically, the StealthStation® S7 AxiEM™ system) during awake craniotomy surgeries. This system allows the surgeons to navigate during the procedure without having to fix the patient’s head in place with pins. Prior to surgery, patients underwent thorough clinical and neuropsychological evaluations, patient education, and a detailed MRI scan. During the surgery, patients were kept conscious but sedated. The study found that this method is as accurate as traditional methods using optical navigation, but is more comfortable for the patient and doesn’t interfere with certain techniques and surgical instruments. Therefore, the researchers recommend this method as a useful addition to awake surgeries.

FAQs

  1. What is the StealthStation® S7 AxiEM™ system and how is it used in awake craniotomy surgeries?
  2. How does the use of the StealthStation® S7 AxiEM™ system compare to traditional methods in terms of accuracy and comfort for the patient?
  3. What pre-surgery procedures were undertaken by patients in the study and why were they important?

Doctor’s Tip

A doctor might advise a patient undergoing a craniotomy to follow their pre-operative instructions carefully, including fasting before the surgery and avoiding certain medications. They may also recommend discussing any concerns or questions with the surgical team before the procedure. Additionally, the doctor may emphasize the importance of post-operative care, such as keeping the surgical site clean and dry, taking prescribed medications, and attending follow-up appointments as scheduled. It is also important for the patient to communicate any unusual symptoms or concerns to their healthcare provider promptly.

Suitable For

Patients who are typically recommended for craniotomy include those with brain tumors, arteriovenous malformations, aneurysms, traumatic brain injuries, epilepsy, and other conditions that require surgical intervention within the brain. Additionally, patients who may benefit from awake craniotomy, such as those with tumors located in areas of the brain responsible for speech or motor function, may also be recommended for this procedure.

Timeline

  • Before craniotomy:
  1. Thorough clinical and neuropsychological evaluations
  2. Patient education on the procedure
  3. Detailed MRI scan
  • During craniotomy:
  1. Patient is kept conscious but sedated
  2. Use of electromagnetic navigation system (StealthStation® S7 AxiEM™)
  3. Surgery performed without fixing the patient’s head in place with pins
  • After craniotomy:
  1. Post-operative care and monitoring
  2. Rehabilitation as needed
  3. Follow-up appointments with the surgical team to monitor recovery and address any concerns

What to Ask Your Doctor

  1. Can you explain why a craniotomy is necessary for my condition?
  2. What are the potential risks and complications associated with a craniotomy procedure?
  3. How long will the surgery take and what is the expected recovery time?
  4. Will I need to be awake during the procedure? How will my pain and discomfort be managed?
  5. How experienced are you in performing craniotomy surgeries, specifically using the electromagnetic navigation system?
  6. Will I need any additional tests or evaluations before the surgery?
  7. What are the success rates and outcomes for patients who undergo a craniotomy with the StealthStation® S7 AxiEM™ system?
  8. How will my postoperative care be managed, including follow-up appointments and rehabilitation?
  9. Are there any alternative treatment options to consider before proceeding with a craniotomy?
  10. Are there any specific precautions or lifestyle changes I should be aware of after the surgery?

Reference

Authors: Morsy AA, Ng WH. Journal: J Clin Neurosci. 2015 Nov;22(11):1827-9. doi: 10.1016/j.jocn.2015.04.013. Epub 2015 Aug 4. PMID: 26249245