Awake Craniotomy
Awake craniotomy is a specialized brain surgery performed while parts of the patient remain awake, helping surgeons protect speech, movement and other important brain functions during treatment.
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Brain & Spine Tumors
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What Is an Awake Craniotomy?
Awake craniotomy is a type of brain surgery performed while a patient is awake and able to respond to questions during key parts of the procedure. It is often used when a brain tumor, seizure focus or other abnormality is located near areas of the brain that control speech, movement, sensation or other critical functions.
During surgery, the care team monitors how the brain is functioning in real time. This allows surgeons to remove or treat abnormal tissue while helping preserve important neurological abilities.
Why Choose Baptist Health?
Baptist Health Brain & Spine Care brings together specialists in neurosurgery, neurology, neuroradiology and rehabilitation to develop personalized treatment plans for complex brain conditions.
For patients who may benefit from awake craniotomy, our multidisciplinary approach focuses on balancing treatment goals with preservation of speech, movement, memory and quality of life. Advanced imaging, pre-surgical planning and ongoing support help guide care before, during and after treatment.
Frequently Asked Questions
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An awake craniotomy helps surgeons treat brain conditions located near critical functional areas. Keeping patients responsive during parts of the procedure allows the surgical team to monitor speech, movement and other neurological functions in real time.
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Patients receive anesthesia and medications to help keep them comfortable. The scalp and surgical area are numbed, and the anesthesia team carefully monitors comfort throughout the procedure.
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No. Although it is commonly used for certain brain tumors, awake craniotomy may also be considered for some epilepsy surgeries and other brain conditions that require functional brain mapping.
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Candidates are typically individuals whose condition affects areas of the brain involved in critical functions. Eligibility depends on the condition being treated, overall health and the ability to participate during surgery.
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Recovery varies based on the procedure performed and the patient's overall health. Some people recover relatively quickly, while others may require rehabilitation and additional follow-up care.
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In some situations, traditional brain surgery, radiation therapy, medication management or other treatments may be considered. Treatment recommendations depend on the diagnosis and individual circumstances.
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Some patients benefit from physical therapy, occupational therapy, speech therapy or other rehabilitation services. Recommendations depend on the condition treated and recovery progress.
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