Bapteste Lionel, Marchal Magali, Szostek Anne-Sarah, Guenot Marc, Beuriat Pierre-Aurélien
Department of Anesthesia, Hospices Civils de Lyon, Lyon, France.
Anesthesia and Intensive Care Department, Pierre Wertheimer Hospital, 59 Boulevard Pinel, 69500, Bron, France.
Childs Nerv Syst. 2023 May;39(5):1353-1356. doi: 10.1007/s00381-023-05840-4. Epub 2023 Jan 25.
Awake neurosurgery in children may sometimes require conversion to general anesthesia. We present here the case of a first failed awake procedure for epilepsy surgery. After adapting the anesthesia protocol (sedation + hypnosis) and acceptance by the patient, the surgeons operated the child in good conditions a few months later. We believe that it is possible to retry awake neurosurgery after a first failure if its analysis showed modifiable causes.
儿童清醒开颅手术有时可能需要转为全身麻醉。我们在此介绍一例癫痫手术首次清醒手术失败的病例。在调整麻醉方案（镇静+催眠）并获得患者同意后，几个月后外科医生在良好的条件下为患儿进行了手术。我们认为，如果首次失败的分析显示存在可修改的原因，那么在首次失败后可以再次尝试清醒开颅手术。
