@article{Das_Al-Mashani_Suri_Salhotra_Chatterjee_2016, title={Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case report}, volume={16}, url={https://journals.squ.edu.om/index.php/squmj/article/view/2164}, DOI={10.18295/squmj.2016.16.03.014}, abstractNote={<span>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.</span><br /><span><span><br /><br /></span></span>}, number={3}, journal={Sultan Qaboos University Medical Journal}, author={Das, Samaresh and Al-Mashani, Ali and Suri, Neelam and Salhotra, Neeraj and Chatterjee, Nilay}, year={2016}, month={Aug.}, pages={347–351} }