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5-year-old becomes world’s youngest patient to undergo ‘awake brain surgery’ at AIIMS; Read on to know all about this unique case

5-year-old becomes world’s youngest patient to undergo ‘awake brain surgery’ at AIIMS; Read on to know all about this unique case

In a first, doctors at AIIMS, Delhi successfully performed a brain tumour surgery on a five-year-old girl while keeping her awake during the operation. The hospital claims that she was the youngest patient in the world to undergo such a procedure.

The procedure termed as ‘awake craniotomy’ or conscious sedation technique surgery for a left perisylvian intraaxial brain tumour was performed on January 4, AIIMS said in a statement.

5-year-old becomes world’s youngest patient to undergo ‘awake brain surgery’ at AIIMS; Read on to know all about this unique case

The tumour was removed successfully by a team of neurosurgeons and she remained conscious throughout the procedure.

“Technological adjuncts viz preoperative functional MRI brain, intraoperative ultrasonography, neuronavigation were used to localise tumour precisely during resection while mapping of functional areas was being carried out under awake conditions. Ice cold saline was used for the brain surface to prevent any seizures during the procedure,” the statement said. “The child is doing well and will be sent home on Monday,” it said.

The girl was shown common objects, and common animals and given some tasks for language and sensorimotor assessments before surgery and suprising these tasks were repeated during the surgical procedure also.

She is a first-standard student and was quick in identifying the picture of Prime Minister Narendra Modi during the surgery, the statement said.

Why awake surgeries are performed?

The doctors explained that awake surgeries for brain tumours are done for maximising tumour removals and minimising neurological deficits. According to the doctors, during awake craniotomy, patients should feel a minimum level of pain while being completely able to cooperate in neurological tests.

“Although this method is called an awake craniotomy, this method requires even more collaboration in perfect harmony of the surgical and anaesthesia teams than other operations under general anaesthesia said,” Dr Deepak Gupta, Professor of Neurosurgery who performed this operation with his team with neuroanesthesia team led by Dr Mihir Pandia and Dr Gyanendra Pal Singh.

Dr. Gupta also revealed that this girl happens to be the youngest child in the world to undergo successful brain tumour surgery under awake conditions at this age at AIIMS, Delhi.

According to Mayo Clinic, awake brain surgery is used to treat some brain (neurological) conditions, including some brain tumours or epileptic seizures.

“If your tumor or the area of your brain where your seizures occur (epileptic focus) is near the parts of your brain that control vision, movement or speech, you may need to be awake during surgery, it stated.

This procedure allows the surgeon to know exactly which areas of your brain control those functions and avoid them.

What are risk of awake brain surgery?

According to Mayo Clinic, some of the risks of awake brain surgery include:

Changes in your visionSeizuresDifficulty with speech or learningLoss of memoryImpaired coordination and balanceStrokeSwelling of the brain or too much fluid in the brainMeningitisLeaking spinal fluidWeak muscles

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