Ensuring quality of life after a craniotomy: a comparison of awake and ‘asleep’ cortical mapping

A craniotomy is an intensive and invasive procedure, and many patients will be initially alarmed at the prospect of remaining fully or partially awake during such a major operation. Yet, the literature seems to suggest that awake craniotomies may be of greater benefit, with sustained consciousness throughout the procedure associated with improved cortical mapping and postoperative outcomes. However, as with all healthcare interventions, careful consideration of patient-related factors is key in maintaining an individual's functioning and quality of life. Francesc Ramadan elaborates.