Awake craniotomy for the removal of tumours

SURGICAL TECHIQUE FOR THE REMOVAL OF BRAIN TUMOURS


Our neurosurgeons can remove tumours near functionally-sensitive parts of the brain, using an awake craniotomy

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What is an awake craniotomy?

During an awake craniotomy, a patient is brought back to consciousness during part of the procedure, but any painful parts of the surgery are performed under anaesthetic.

This is an effective way to remove tumours near areas of the brain that control speech, language, movement or sight (‘eloquent’ cortex).

By performing the procedure this way, the neurosurgeon can test regions of the brain and functionality throughout the operation.

Need to know

An awake craniotomy normally begins under general anaesthetic, which means you'll be asleep.

Part of your head will be shaved, and a small cut made in your scalp. A piece of the skull will then be removed (craniotomy). At this point, you'll be woken up and may be asked to carry out tasks, such as reading out loud.

Your neurosurgeon may then map the brain using electrodes to identify important areas to avoid and protect during the procedure. Once the tumour is located and removed, your neurosurgeon will replace the bone and closes the skin incision.

It is not painful however some patients may feel a tugging sensation.
Your HCA UK neurosurgeon will explain your awake craniotomy to you and answer any questions you might have.

Because you'll be having general anaesthetic, they'll let you know how long you should avoid eating and drinking before surgery. You may also be asked to attend a nurse-led pre-assessment clinic.

Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you.
After your awake craniotomy, you'll be transferred to our recovery area, where you’ll be looked after by a specialist team.

Your neurosurgeon will explain your recovery time to you and when you can expect to get back to your usual routine.

Our Awake craniotomy for the removal of tumours locations

The Lister Hospital

The Lister Hospital

Chelsea Bridge Road, SW1W 8RH London
The Wellington Hospital

The Wellington Hospital

8A Wellington Place NW8 9LE London
The Wilmslow Hospital

The Wilmslow Hospital

52-54 Alderley Road SK9 1NY Wilmslow
London Bridge Hospital

London Bridge Hospital

27 Tooley Street SE1 2PR London
The Harley Street Clinic

The Harley Street Clinic

35 Weymouth Street W1G 8BJ London
The Princess Grace Hospital

The Princess Grace Hospital

42-52 Nottingham Place W1U 5NY London
The Shard Outpatients

The Shard Outpatients

The Shard, 32 St Thomas Street SE1 9BS London
Chiswick Outpatients

Chiswick Outpatients

Bond House 347-353 Chiswick High Road W4 4HS London
Chelsea Outpatients

Chelsea Outpatients

280 King's Road SW3 5AW London

Patient stories

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.