Atroune L
Awake brain surgery is now a common practice. Even though it’s getting more and more enriched when it comes to adults; its literature remains poor in children. The aim was to study the feasibility of this procedure in the pediatric population and to note the specificities to be taken into account in particular in regards of the child’s conditioning. We described the case of a 15-year-old left-handed patient presented with right rolandic operculum glioma revealed by epilepsy resistant to therapy. Results: We had the patient’s full cooperation; the tests used were the same used in adults. Motivational and language mapping has been positive. Regardless of the question of bad collaboration we encounter in young children under the age of 10, certain anatomical and functional particularities such as cortical and sub-cortical myelination, maturation of functional networks can influence the direct electrical stimulation method and may total of 18 full text articles reporting the results of 50 patients were included in the analysis. Sixteen of the 18 studies were retrospective studies, comprising 7 case series, 9 case reports, and 2 reviews. Eleven studies were conducted from anesthesiological (25 patients) and 7 from neurosurgical (25 patients) departments. Most of the patients underwent ABS for supratentorial lesions (26 patients), followed by epilepsy surgery (16 patients) and deep brain stimulation (DBS) (8 patients). The median age was 15 years (range 8-17 years). Persistent deficits occurred in 6 patients, (12%), corresponding to minor motor palsies (4%) and neuropsychological concerns (8%). An awake procedure was aborted in 2 patients (4%) due to cooperation failure and anxiety, respectively.limit its use in children. Conclusion: The Improvement of individualized management of patientscan only is achieved if the research’s perspectives on cognitive functioning are optimized with the need to adapt the tools for language assessment.