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| Name | Brain Surgery While Awake |
| Video Uploader | Video From Baptist Health |
| Upload Date | This Video Uploaded At 22-01-2014 15:14:05 |
| Video Discription | Surgeons at Baptist Health Neuroscience Center use awake craniotomy to remove brain tumors from some patients while they are awake. This approach allows the surgeon to remove more of the tumor, while protecting parts of the brain responsible for motor and speech functions. [Transcript] [The following video contains surgical footage intended for mature audiences] [Bethany Rundell, Reporter] 27 year old Sandra Cruz never thought the headaches she suffered with for many years were the result of a slow growing tumor in her brain. [Doctor interacting with patient] [Sandra Cruz, Patient] I found out I had a problem and that I had to get surgery initially because of a seizure. [Showing brain X-rays] [Bethany Rundell] Doctors at Baptist Health Neuroscience Center told her she would need to have the tumor removed. [Vitaly Siomin, M.D., Neurosurgeon, Medical Director, Brain Tumor Program] We suspect that this is a type of tumor that originated primarily in the brain and if it is left untreated, it could cause worsening seizures, it could cause some motor deficits, paralysis, sensory changes, cognitive issues, et cetera. [Bethany Rundell] For Sandra who is studying for her MBA, and relies on critical thinking and verbal communication for her job, awake craniotomy seemed like perfect fit. [Vitaly Siomin, M.D.] Awake craniotomy is a surgical technique that we utilize to remove tumors that are located in very important, eloquent areas of the brain. After the brain is exposed and we do some mapping and when we do that, we locate the critical areas of the brain and often times tag them and that enables us to know exactly where those critical functions of the brain are located. [Bethany Rundell] As with other surgical procedures, Sandra is sedated for the first part of the surgery. Once asleep, she is prepped. Her head marked and shaved where the incision will be made. When Dr. Siomin accesses her brain through the incision, Sandra is awakened. [Vitaly Siomin, M.D.] Sandra, opening your eyes. [Sandra Cruz] Uh-huh (affirmative)- [Vitaly Siomin, M.D.] I know you're sleepy. [Doctors performing surgery] [Bethany Rundell] Then her brain function is mapped using electrical stimulation while she speaks and moves her hands and feet. [Vitaly Siomin, M.D.] Oh, there we go. The brain is covered to protect the areas that are not involved with the tumor and you see the number tags, this is where the eloquent parts of the brain are located, and you see the electrode that was used to find out where the motor strip of the patient is located. The area of the brain that controls the motor function. Now knowing the borders and knowing where the eloquent areas are, it is much safer to proceed. [Bethany Rundell] [Footage of doctors working on removing Sandra's tumor is shown] Once the mapping of her brain is complete, Dr. Siomin works to remove Sandra's tumor. She doesn't feel pain since there are no pain receptors on the brain and even takes time to speak to her husband by phone. [Sandra Cruz] I'm moving my hands, wiggling my fingers. Everything's good. [Bethany Rundell] After three hours, her craniotomy is complete and Sandra is taken to recovery. With the tumor removed and the functioning parts of her brain left intact, she's on her way to returning to her life. [Vitaly Siomin, M.D.] I think Sandra will probably go back home in about two, three days and then she will probably resume her activities and may go back to school maybe in about a month or so. [Bethany Rundell] At Baptist Hospital, Bethany [Rundall 00:02:38], Baptist Health South Florida news. [Baptist Health South Florida] [End Transcript] |
| Category | Science & Technology |
| Tags | Baptist Health Neuroscience Center | Vitaly Siomin M.D. | awake craniotomy | brain surgery | Baptist Health South Florida | Baptist Hospital (Hospital) | Neurosurgery (Medical Specialty) |
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