TY - JOUR T1 - Uyanık Kraniyotomide Anestezi Yaklaşımı: Olgu Sunumu AU - Laflı Tunay, Demet AU - Güneş, Yasemin PY - 2019 DA - April Y2 - 2019 JF - Journal of Cukurova Anesthesia and Surgical Sciences JO - J Cukurova Anesth Surg PB - Merthan TUNAY WT - DergiPark SN - 2667-498X SP - 17 EP - 22 VL - 2 IS - 1 LA - tr AB - Uyanık kraniyotomi tekniği ilk olarak epilepsinin cerrahi tedavisinde kullanılmış ve daha sonra kritik beyin bölgelerine yakın, supratentoriyal tümörlerin cerrahi tedavisinde veya arteriyovenöz malformasyon gibi lezyonların tedavisinde kullanılmıştır. Bu cerrahi yaklaşım; motor, somatosensör ve dil alanları gibi beynin önemli alanlarını korurken, lezyon rezeksiyonunu maksimum düzeyde gerçekleştirmeyi amaçlar. Bu cerrahi teknik sırasında, hastanın cerrahiye aktif katılımı, kortikal haritalamayı kolaylaştırmak için gereklidir. Bu tip bir prosedürde, anestezistin amacı, operasyonu güvenli ve etkili kılmak; ayrıca hastanın psikofiziksel rahatsızlığını azaltmaktır. Literatürde uyanık kraniyotomi için pek çok anestezi protokolü tanımlanmakla birlikte, en iyi anestezi tekniğine dair ortak bir fikir birliğine henüz ulaşılamamıştır.Biz de bu yazıda; frontal bölgedeBrokaalanına yakın tümörü olan bir hastadaki anestezik yaklaşımımızı sunmayı amaçladık. KW - Uyanık kraniyotomi KW - deksmedetomidin KW - skalp bloğu CR - 1. July J, Manninen P, Lai J, et al. The history of awake craniotomy for brain tumor and its spread into Asia. Surg Neurol. 2009; 71:621-45. CR - 2. Burchiel KJ, Clarke H, Ojemann GA, et al. Use of stimulation mapping and corticography in the excision of arteriovenous malformations in sensorimotor and language-related neocortex. Neurosurg. 1989;24:322-7. CR - 3. Duffau H, Capelle L, Sichez JP, et al. Intra-operative direct stimulations of the central nervous system: the Salptrière experience with 60 patients. Acta Neurochir (Wien). 1999; 141:1157-67. CR - 4. Lüders JC, Steinmetz MP, Mayberg MR. 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