{"id":"7f43eef8-4145-4f00-89bf-40450644e90d","slug":"can-awake-glioma-surgery-be-the-new-standard-of-care-in-developing-countries","title":"Can awake glioma surgery be the new standard of care in developing countries?","authors":["Syed Sarmad Bukhari","M. Shahzad Shamim"],"abstract":"Background: Awake craniotomy, a procedure where patients are conscious during part of the surgery, has historical roots dating back to the 19th century. It has gained renewed interest due to its potential benefits in glioma resection, including better extent of resection and lower risk of postoperative deficits. The procedure is particularly relevant in low and middle-income countries (LMICs) where conventional glioma surgeries are often prohibitively expensive. Summary: Awake craniotomy has been associated with improved outcomes in glioma surgery, including enhanced progression-free survival and reduced complications. The cost-effectiveness of this approach has been highlighted, especially in resource-limited settings, where it may lead to significant savings compared to traditional methods. However, the implementation of awake craniotomy in developing countries faces challenges, including the need for specialized training and potential costs associated with the procedure. Conclusion: While awake craniotomy shows promise as a standard of care for glioma surgery in developing countries, its widespread adoption may take time due to various logistical and financial barriers. Further research and evidence are needed to fully understand its feasibility and impact in these settings. Keywords: awake craniotomy, glioma surgery, cost-effectiveness, developing countries, patient outcomes, neuro-oncology, surgical techniques","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/placeholders/specialty/neuro-oncology.png","publishDate":"2020-12-11T00:00:00.000Z","doi":"10.25259/SNI_635_2020","categories":["Neuro-oncology","Editorial"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/7f43eef8-4145-4f00-89bf-40450644e90d/pdf"}