Remarkable Results in Awake Brain Surgery!

Remarkable Results in Awake Brain Surgery!

In a remarkable advancement in the field of neurosurgery, Dr. Hussien El-Maghraby; Consultant Neurosurgeon and Spinal Surgeon at University Hospitals Coventry and Warwickshire NHS Trust, England, United Kingdom, has achieved a significant milestone in brain surgeries. He now offers patients a unique opportunity to undergo critical surgeries while awake, which not only enhances surgical precision but also enables patients to benefit from modern healing methods that are available now in Egypt.

Awake brain surgery:

• Awake brain surgery is a safe and effective treatment for many cases of brain tumors. Although staying awake during the procedure may seem unusual, it is often a key element in the success of the surgery.
• Awake brain surgery contributes to mapping the brain, enabling Dr. Hussien El-Maghraby to examine the function of different brain areas through stimulation. This procedure helps in removing as much of the tumor as possible while minimizing risks. This technique is used for brain tumor resection located near areas of the brain that control speech, movement, and sensation.
• Patients typically experience no sensation during awake brain surgery, as brain tissue is not sensitive to pain. Additionally, patients are anesthetized before the skull is opened for the brain procedure.
• The challenges of brain tumor surgery lie in removing as much of the tumor as possible without causing significant harm to the healthy brain tissue. This requires skill and expertise, such as that of Dr. Hussien El-Maghraby, along with advanced technology and a coordinated medical team.

Before performing awake brain tumor surgery:

To determine the precise location of the tumor and plan the brain surgery procedure, Dr. Hussien El-Maghraby requested the necessary imaging tests to provide a comprehensive assessment of the case, which included:
• Magnetic Resonance Imaging (MRI): This is used to obtain accurate brain images.
• Computed Tomography (CT scan): CT helps provide a detailed picture of the overall brain condition and any existing tumors.
• Angiography: This is used to assess blood flow in the area surrounding the tumor.
After conducting these important examinations, Dr. Hussien El-Maghraby ensured this case was suitable for this type of surgery. He also reviewed the results carefully to ensure that all the health and psychological factors of this case aligned with the procedure requirements, ensuring the highest levels of safety and success.

Details of awake brain tumor surgery:

1-      During the surgery, the anesthesiologists used an intravenous (IV) line in the patient's arm to administer mild sedatives intravenously. These sedatives helped the patient feel comfortable and relaxed. A local anesthetic was injected into the skull to access the brain, and a clamp was used to secure the patient's head in a comfortable and painless position.
2-      Dr. Hussien El-Maghraby then used image guidance with a monitor to locate the exact site of the tumor. Before making any incisions, he ensured that the patient felt no pain.
3-      When Dr. Hussien El-Maghraby reached the brain, he used mapping technique to assess the functions of different areas within it, by asking the patient to perform specific tasks such as speaking, talking in a certain language, and moving hands or feet. This was done by stimulating a part of the brain near the tumor by sending a mild electrical current through the nerves to determine whether these stimuli affected neurological function.
4-      After completing the brain mapping, Dr. Hussien El-Maghraby removed as much of the tumor as possible. The patient continued to perform the required tasks during the surgery.
5-      After removing the tumor, Dr. Hussien El-Maghraby closed the access point to the skull and stitched the scalp.

Results of awake brain tumor surgery:

• The duration of recovery after the procedure depends on a variety of factors, including the location of the tumor. Typically, patients can return home within a few days, and it is expected that they will resume their daily activities within a period ranging from several weeks to months, depending on the case.
• The results of the procedure are remarkable, thanks to the efforts of Dr. Hussien El-Maghraby; Consultant Neurosurgeon and Spinal Surgeon at University Hospitals Coventry and Warwickshire NHS Trust, England, United Kingdom. With his precision and skill, brain tumors can be removed using this modern and safe technique, ensuring the complete removal of the tumor without affecting any vital functions of the brain.