Awake craniotomy for resection of insular astrocytoma

Awake Craniotomy has been evidenced as an efficient surgical technique for brain tumor resection while preserving eloquent areas of the brain. However, the challenges faced with this range from patient cooperation to the expertise of the management team. In our case report, we present a 34-year-old gentleman with a local recurrence of insular astrocytoma. Concerning his otherwise insignificant health and stable psychological state, an awake craniotomy was suggested, for which the patient consented. He was prepared for over a month with psychological support, theater experience, and anticipated intra-operative tasks. The surgery was a success with no post-operative complications.