Anesthetic technique for awake artery malformation clipping with motor evoked potential and somatosensory evoked potential: A case report

Abstract

BACKGROUND Awake craniotomy has been widely used for tumor resection, epilepsy surgery, deep brain stimulation, and carotid endarterectomy. The report on awake artery malformation clipping is rare, especially for anesthesia management. CASE SUMMARY A 62-year-old female diagnosed with malformation of anterior cerebral artery at the right side. We clipped the artery malformation with intraoperative neuromonitoring (IONM) in awake craniotomy. Spontaneous respiration was maintained throughout the procedure by nasopharyngeal airway during the surgery successfully. CONCLUSION The technique of monitoring anesthesia care can be performed successfully for the patient with IONM.