Main Article Content

Abstract

An awake craniotomy is a continuously evolving technique used for the resection of brain tumours from the eloquent cortex. We report a 29-year-old male patient who presented to the Khoula Hospital, Muscat, Oman, in 2016 with a two month history of headaches and convulsions due to a space-occupying brain lesion in close proximity with the left motor cortex. An awake craniotomy was conducted using a scalp block, continuous dexmedetomidine infusion and a titrated ultra-low-dose of propofol-fentanyl. The patient remained comfortable throughout the procedure and the intraoperative neuropsychological tests, brain mapping and tumour resection were successful. This case report suggests that dexmedetomidine in combination with titrated ultra-low-dose propofolfentanyl are effective options during an awake craniotomy, ensuring optimum sedation, minimal disinhibition and a rapid recovery. To the best of the authors’ knowledge, this is the first awake craniotomy conducted successfully in Oman.


Keywords

Anesthesia Craniotomy Dexmedetomidine Propofol Fentanyl Case Report Oman.

Article Details

How to Cite
Das, S., Al-Mashani, A., Suri, N., Salhotra, N., & Chatterjee, N. (2016). Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case report. Sultan Qaboos University Medical Journal [SQUMJ], 16(3), 347–351. https://doi.org/10.18295/squmj.2016.16.03.014