Abstract
BackgroundThe main purposes of awake craniotomy are to minimize postoperative brain dysfunction caused by the surgical procedure and to maximize the tumor resection range. In awake craniotomy, it is important to have a good quality of awakening and to obtain patient’s obedience in the awake phase.Case presentationThe patient was a 75-year-old woman with an advanced hearing impairment who was scheduled for awake craniotomy. We used a bone conduction voice amplifier before and during the awake phase and communicated with the patient smoothly.ConclusionsWe were able to complete awake craniotomy fully, and overcoming the deafness problem might have contributed to the patient’s good outcome. This case report indicates that awake craniotomy can be performed in a patient with an advanced hearing impairment under the condition of careful anesthetic management.
Highlights
The main purposes of awake craniotomy are to minimize postoperative brain dysfunction caused by the surgical procedure and to maximize the tumor resection range
The asleepawake-asleep (AAA) method or the monitored anesthetic care (MAC) method is used for anesthetic management in awake craniotomy (AC) [1]
We present a case of severe hearing impairment in an aged patient in whom AC was successfully performed with smooth communication by using a bone conduction voice amplifier
Summary
Even in cases of severe hearing impairment, AC can be completed by using a bone conduction voice amplifier.
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