SciELO - Scientific Electronic Library Online

vol.6 número3Tratamento da cetoacidose diabética em um hospital universitário de Montevidéu no período de Junho a Setembro de 2015Mixoma atrial esquerdo gigante como causa de obstrução da válvula mitral e hipertensão pulmonar grave. índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados



Links relacionados


Revista Uruguaya de Medicina Interna

versão impressa ISSN 2393-6797versão On-line ISSN 2393-6797


MARTINEZ, Fernando et al. Surgery with operative awakening for expansive brain processes. Report of 20 cases. Rev. Urug. Med. Int. [online]. 2021, vol.6, n.3, pp.69-84.  Epub 01-Dez-2021. ISSN 2393-6797.


Expansive brain injury surgery with awake patients is a technique that is being used more and more frequently. This is because it is a cost-effective technique for performing brain tumor resection widely and safely.


Twenty patients operated with this technique are presented. There were 13 men and 7 women, age range 16 - 67 years, carriers of 17 tumor lesions and 3 vascular lesions (cavernous angiomas). 22 surgeries were performed since two patients underwent surgery twice. Supra-maximal resection was achieved in 3 cases, complete in 9, subtotal in 5, and partial in 2 patients. One patient could not be operated on due to inadequate awakening and the procedure was suspended. Regarding complications, 18% of the patients presented intra-operative seizures, but they did not prevent the normal development of the procedure after the crisis was jugulated. Two patients (9% of the procedures) had inadequate awakening. In one case the lesion was completely resected anyway, in the other the procedure was suspended. 18% of the patients presented a transitory functional deterioration and 4.5% presented a definitive worsening (severe paresis). Only one patient (4.5%) had a flap infection that required removal of the bone plate and placement of a delayed acrylic plate.


The figures presented by the authors are in accordance with those of the regional and international reference centers.

Palavras-chave : Cerebral glioma; metastasis; surgery with operative awakening; neurophysiological monitoring.

        · resumo em Português | Espanhol     · texto em Espanhol     · Espanhol ( pdf )