Awake Brain Surgery Preserves Critical Functions in Kolkata Woman
A young woman faced a daunting medical challenge when she arrived at CK Birla Hospitals, CMRI, with a brain tumor positioned perilously close to the eloquent areas of her brain—regions responsible for speech, movement, and sensation. The surgical risks were substantial: any error could have compromised her ability to speak, move independently, or maintain her quality of life.
Specialized Surgical Approach
The complex procedure was led by Dr. Rathijit Mitra, Neurosurgeon at CK Birla Hospitals, CMRI, who selected awake brain surgery, a highly specialized technique employed when tumors are located near critical functional brain regions. "In such delicate cases, keeping the patient awake enables continuous testing and preservation of vital brain functions during tumor removal," explained Dr. Mitra.
Before the operation, the patient received comprehensive counselling and psychological assessment to prepare for the unique experience. On surgery day, the anaesthesia team administered local anaesthetic to her scalp to eliminate pain. Once the skull was opened, she was gently awakened to participate actively in the procedure.
Real-Time Brain Mapping
As the surgery progressed, the medical team engaged her in various activities:
- Talking and responding to questions
- Counting and singing
- Performing movement tasks
A speech and language therapist alongside neurology specialists monitored every response meticulously, providing Dr. Mitra with real-time feedback to map brain functions accurately. "The moment her speech patterns or tone changed, we recognized proximity to sensitive areas. This immediate feedback proved invaluable for safe tumor excision," noted Dr. Mitra.
Successful Outcome and Recovery
The operation achieved complete success with the tumor fully removed and all neurological functions preserved. The patient emerged from surgery with no impairment to speech or motor abilities. Within days, she demonstrated steady recovery—communicating clearly, moving normally, and expressing relief through smiles.
Teamwork and Human-Centered Care
Awake brain surgery represents a remarkable advancement in neurosurgical precision, but its success hinges on coordinated teamwork. Neurosurgeons, anaesthetists, neurologists, speech therapists, and psychologists must operate in perfect synchrony. The patient transforms from passive recipient to active participant in their own care.
For the CMRI medical team, such cases underscore that surgery extends beyond tumor removal or scan correction. It involves protecting patient identity—preserving voice, memories, and the essential qualities that define personal existence. While saving lives remains paramount, preserving the life patients cherish holds equal significance in modern neurosurgical practice.
