College of Medicine and Health Sciences, Sultan Qaboos University, Suhar, Sultanate of Oman.
College of Medicine and Health Science, National University of Science and Technology, Suhar, Sultanate of Oman.
World Neurosurg. 2023 Nov;179:82-87. doi: 10.1016/j.wneu.2023.08.040. Epub 2023 Aug 17.
Awake craniotomy is a unique method to prevent motor deficits during the resection of lesions located in or close to functional areas. We sought to study the outcomes of pediatric craniotomy on published studies.
The search for articles was performed through multiple search engines: PubMed, Google Scholar, Web of Science, and Wiley. The following search terms were used for screening the titles and abstracts: "awake brain surgery" and "children" or "pediatrics," "awake craniotomy," and "children" or "pediatrics," "pediatrics awake craniotomy," "awake brain surgery pediatrics," and "tumors." On initial screening of the titles and abstracts, 54 articles were found. After a thorough review of the full texts of obtained articles and removing duplicates, 16 articles remained.
The mean age group was 12.23 years. There was a slight difference between genders who underwent awake craniotomy in the pediatric age group, 52.7% male and 47.3% for female. Tumor resection was the most common indication of the surgery. Almost half (47.9%) experienced complete recovery following the surgery. However, of those who had complicated recovery, 7.5% experienced a speech deficit.
This systematic review summarized that awake brain surgery can prevent significant motor and language deficits postoperatively in children after tumor resection as it is considered a feasible and safe procedure.
清醒开颅术是一种独特的方法，可防止在切除位于或靠近功能区域的病变时出现运动缺陷。我们旨在通过已发表的研究来研究儿科开颅术的结果。
通过多个搜索引擎（PubMed、Google Scholar、Web of Science 和 Wiley）进行文章搜索。筛选标题和摘要时使用了以下搜索词：“清醒脑手术”和“儿童”或“儿科”，“清醒开颅术”和“儿童”或“儿科”，“儿科清醒开颅术”，“清醒脑手术儿科”和“肿瘤”。在对标题和摘要进行初步筛选后，发现了 54 篇文章。在对获得的文章全文进行彻底审查并删除重复项后，仍有 16 篇文章。
平均年龄组为 12.23 岁。在儿科年龄组中接受清醒开颅术的男女比例略有不同，男性占 52.7%，女性占 47.3%。肿瘤切除是手术最常见的指征。几乎一半（47.9%）的患者在手术后完全康复。然而，在那些康复情况复杂的患者中，有 7.5%的患者存在言语缺陷。
本系统评价总结认为，清醒脑手术可以预防儿童肿瘤切除术后因手术而导致的明显运动和语言缺陷，因为它被认为是一种可行且安全的手术。
