Abstract
Awake craniotomy for epilepsy surgery is not a new. Nowadays, it has become increasingly popular for the optimal excision of brain tumors located in eloquent areas, such as speech, motor and sensory areas. In order to minimize postoperative neurological deficits, awake craniotomy with intraoperative monitoring cortical mapping can be employed. Awake craniotomy is useful to avoid neurological deficits and maintain the quality of the patient's life after neurosurgical procedures. However, anesthetic management for awake craniotomy requires particular attention to airway management, taking measures to deal with complications, and caring about the anxiety of patients. Before surgery, the patient must be carefully evaluated, and appropriately prepared. In the operating room it is essential for the anesthetist to handle monitoring, communicate with the patient, surgeons, and nurses, and judge the situation accurately.
