What to Expect Before, During, and After an Awake Craniotomy

Doctor meeting with patient to discuss awake craniotomy in Dallas, TX Awake craniotomy may sound intimidating, but it’s a highly specialized and effective brain surgery that allows neurosurgeons to treat conditions, like tumors or epilepsy, while preserving critical brain functions. Knowing what to expect can help you feel more at ease and prepared.

At Texas Neurosurgery, LLP, our team takes a personalized approach to awake craniotomy, ensuring patients and their families fully understand the procedure and feel confident in their care every step of the way. With decades of combined experience and a commitment to collaboration, our Dallas-based neurosurgeons work closely with you and your physician to develop a plan for your unique condition and goals.

Before Surgery: Preparing for the Procedure

Before your awake craniotomy, your neurosurgical team will conduct detailed imaging (MRI or CT scans) to map out your brain. You’ll also undergo neurocognitive testing to identify vital areas related to speech, movement, or memory. These evaluations guide the surgical plan and help determine if you’re a good candidate.

Your surgeon will detail the procedure for you, including when you’ll be asleep and when you’ll be awake. You’ll be coached on tasks like speaking or moving your hands to perform during surgery so that the surgical team can monitor brain function in real time.

During Surgery: Staying Awake with Purpose

The procedure begins under sedation, as the surgeon opens the skull. Once the brain is exposed and the surgical site is ready, you are gently awakened. Local anesthesia ensures you don’t feel pain.

While awake, you’ll interact with the medical team by speaking, naming pictures, counting, or moving your limbs. This helps the surgeon avoid damaging critical brain areas while removing tumors or correcting abnormalities. Throughout the process, your comfort and safety are closely monitored.

After Surgery: Recovery and Follow-Up

After the procedure, you’ll be moved to recovery and later to a hospital room for observation. Some patients experience mild headaches, fatigue, or temporary speech or movement difficulties, which typically improve with time.

You’ll likely stay in the hospital for a few days, followed by at-home rest and possibly physical or speech therapy. Follow-up imaging and appointments will track your healing and ensure optimal outcomes.

Get Advanced Brain Surgery That Puts Your Safety First with Awake Craniotomy in Dallas, TX

Awake craniotomy is a remarkable example of how modern neurosurgery prioritizes both safety and function. With the right care and preparation, many patients recover well and return to normal activities in time. Call us at 214-823-2052 to schedule a consultation. Always consult your neurosurgeon for personalized advice based on your diagnosis.

Our Location

DALLAS

6080 North Central Expressway Ste. 150
Dallas, TX 75206
(We sit behind the Beeman Hotel)

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