What does awake surgery bring to glioma surgery?

Toshihiro Kumabe, Masaki Iwasaki, Ken Ichi Nagamatsu, Shintarou Seki, Ryuta Saito, Masayuki Kanamori, Yoji Yamashita, Yukihiko Sonoda, Kiyotaka Sato, Nobukazu Nakasato, Teiji Tominaga

Research output: Contribution to journalArticlepeer-review


We can conclude that awake surgery has brought "logic" to glioma surgery. Before the introduction of awake surgery, the glioma surgery tended to be subjective, depend on the experienced surgeon's craftsmanship, and difficult to be evaluated. That is why glioma surgery was not and could not be discussed enthusiastically, until recently. Combination intraoperative functional brain mapping/monitoring techniques under an awake condition with neuronavigation systems and intraoperative magnetic resonance imaging has changed the glioma surgery into an objective, universal, and evaluable procedure, resulted to improved the treatment outcome of gliomas, contributed to the investigation of brain function, and helped develop neuroanesthesiology.

Original languageEnglish
Pages (from-to)907-915
Number of pages9
JournalJapanese Journal of Neurosurgery
Issue number12
Publication statusPublished - 2010 Dec


  • Awake craniotomy
  • Awake surgery
  • Glioma
  • Intraoperative functional brain mapping
  • Neurooncology

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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