{"id":"https://openalex.org/W4388399982","doi":"https://doi.org/10.14791/btrt.2023.0035","title":"Awake Surgery for Lesional Epilepsy in Resource-Limited Settings: Case Report and Review of Literature","display_name":"Awake Surgery for Lesional Epilepsy in Resource-Limited Settings: Case Report and Review of Literature","publication_year":2023,"publication_date":"2023-01-01","ids":{"openalex":"https://openalex.org/W4388399982","doi":"https://doi.org/10.14791/btrt.2023.0035","pmid":"https://pubmed.ncbi.nlm.nih.gov/37953454","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10641320"},"language":"en","primary_location":{"id":"doi:10.14791/btrt.2023.0035","doi":"https://doi.org/10.14791/btrt.2023.0035","is_oa":true,"landing_page_url":"https://doi.org/10.14791/btrt.2023.0035","pdf_url":"http://btrt.org/Synapse/Data/PDFData/0212BTRT/btrt-11-289.pdf","source":{"id":"https://openalex.org/S2764476047","display_name":"Brain Tumor Research and Treatment","issn_l":"2288-2405","issn":["2288-2405","2288-2413"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","kci-candidate"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain Tumor Research and Treatment","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"http://btrt.org/Synapse/Data/PDFData/0212BTRT/btrt-11-289.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5082673292","display_name":"Mohammad Hamza Bajwa","orcid":"https://orcid.org/0000-0001-7727-565X","observed_orcids":["https://orcid.org/0000-0001-7727-565X"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Mohammad Hamza Bajwa","raw_affiliation_strings":["Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0000-0001-7727-565X","affiliations":[{"raw_affiliation_string":"Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067381856","display_name":"Syeda Amrah Hashmi","orcid":"https://orcid.org/0000-0001-8393-3778","observed_orcids":["https://orcid.org/0000-0001-8393-3778"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Syeda Amrah Hashmi","raw_affiliation_strings":["Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0000-0001-8393-3778","affiliations":[{"raw_affiliation_string":"Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108874417","display_name":"Abdullah Nisar","orcid":"https://orcid.org/0000-0001-6272-6286","observed_orcids":["https://orcid.org/0000-0001-6272-6286"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Abdullah Nisar","raw_affiliation_strings":["Department of Anesthesiology, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0000-0001-6272-6286","affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039191546","display_name":"Muhammad Waqas Saeed Baqai","orcid":"https://orcid.org/0000-0002-3584-2326","observed_orcids":["https://orcid.org/0000-0002-3584-2326"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Muhammad Waqas Baqai","raw_affiliation_strings":["Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0000-0002-3584-2326","affiliations":[{"raw_affiliation_string":"Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041237393","display_name":"Saqib Kamran Bakhshi","orcid":"https://orcid.org/0000-0002-9946-1899","observed_orcids":["https://orcid.org/0000-0002-9946-1899"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Saqib Kamran Bakhshi","raw_affiliation_strings":["Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089003113","display_name":"Muskaan Abdul Qadir","orcid":"https://orcid.org/0000-0002-8955-1161","observed_orcids":["https://orcid.org/0000-0002-8955-1161"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Muskaan Abdul Qadir","raw_affiliation_strings":["Medical College, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical College, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003115951","display_name":"Faraz Shafiq","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Faraz Shafiq","raw_affiliation_strings":["Department of Anesthesiology, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085962635","display_name":"Syed Ather Enam","orcid":"https://orcid.org/0000-0003-2194-0723","observed_orcids":["https://orcid.org/0000-0003-2194-0723"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":true,"raw_author_name":"Syed Ather Enam","raw_affiliation_strings":["Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0000-0003-2194-0723","affiliations":[{"raw_affiliation_string":"Section of Neurosurgery, Department of Surgery, The Aga Khan University, Karachi, Pakistan","institution_ids":["https://openalex.org/I118185606"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5085962635"],"corresponding_institution_ids":["https://openalex.org/I118185606"],"apc_list":null,"apc_paid":null,"fwci":0.3168,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.50615451,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"11","issue":"4","first_page":"289","last_page":"289"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10094","display_name":"Epilepsy research and treatment","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10094","display_name":"Epilepsy research and treatment","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12622","display_name":"Neurosurgical Procedures and Complications","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10919","display_name":"Deep Brain Stimulation and Movement Disorders","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/drug-resistant-epilepsy","display_name":"drug-resistant epilepsy","score":0.8259999752044678},{"id":"https://openalex.org/keywords/cortical-dysplasia","display_name":"cortical dysplasia","score":0.9390000104904175},{"id":"https://openalex.org/keywords/epileptogenic-focus","display_name":"epileptogenic focus","score":0.7979999780654907},{"id":"https://openalex.org/keywords/electrocorticography","display_name":"electrocorticography","score":0.8410000205039978},{"id":"https://openalex.org/keywords/intraoperative-mapping","display_name":"intraoperative mapping","score":0.7850000262260437},{"id":"https://openalex.org/keywords/moderate-sedation","display_name":"conscious sedation","score":0.7929999828338623},{"id":"https://openalex.org/keywords/dexmedetomidine","display_name":"dexmedetomidine","score":0.9330000281333923},{"id":"https://openalex.org/keywords/scalp-block","display_name":"scalp block","score":0.8510000109672546},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.7730000019073486}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8928455114364624},{"id":"https://openalex.org/C2780803581","wikidata":"https://www.wikidata.org/wiki/Q1347108","display_name":"Epilepsy surgery","level":3,"score":0.7760313749313354},{"id":"https://openalex.org/C2778186239","wikidata":"https://www.wikidata.org/wiki/Q41571","display_name":"Epilepsy","level":2,"score":0.758827805519104},{"id":"https://openalex.org/C2780117969","wikidata":"https://www.wikidata.org/wiki/Q3587624","display_name":"Electrocorticography","level":3,"score":0.6429600119590759},{"id":"https://openalex.org/C2777060296","wikidata":"https://www.wikidata.org/wiki/Q1316942","display_name":"Cortical dysplasia","level":3,"score":0.6071898937225342},{"id":"https://openalex.org/C2776616605","wikidata":"https://www.wikidata.org/wiki/Q25339666","display_name":"Awake craniotomy","level":3,"score":0.5103499293327332},{"id":"https://openalex.org/C2778871575","wikidata":"https://www.wikidata.org/wiki/Q514921","display_name":"Craniotomy","level":2,"score":0.4901061952114105},{"id":"https://openalex.org/C2776814716","wikidata":"https://www.wikidata.org/wiki/Q574801","display_name":"Sedation","level":2,"score":0.4681805670261383},{"id":"https://openalex.org/C2781302539","wikidata":"https://www.wikidata.org/wiki/Q412133","display_name":"Dexmedetomidine","level":3,"score":0.4485529363155365},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4376918375492096},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4230876564979553},{"id":"https://openalex.org/C2910833928","wikidata":"https://www.wikidata.org/wiki/Q18975053","display_name":"Drug Resistant Epilepsy","level":3,"score":0.4225260615348816},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.1151856780052185}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.14791/btrt.2023.0035","doi":"https://doi.org/10.14791/btrt.2023.0035","is_oa":true,"landing_page_url":"https://doi.org/10.14791/btrt.2023.0035","pdf_url":"http://btrt.org/Synapse/Data/PDFData/0212BTRT/btrt-11-289.pdf","source":{"id":"https://openalex.org/S2764476047","display_name":"Brain Tumor Research and Treatment","issn_l":"2288-2405","issn":["2288-2405","2288-2413"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","kci-candidate"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain Tumor Research and Treatment","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10641320","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10641320","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10641320/pdf/btrt-11-289.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain Tumor Res Treat","raw_type":"Text"},{"id":"pmid:37953454","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37953454","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain tumor research and treatment","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.14791/btrt.2023.0035","doi":"https://doi.org/10.14791/btrt.2023.0035","is_oa":true,"landing_page_url":"https://doi.org/10.14791/btrt.2023.0035","pdf_url":"http://btrt.org/Synapse/Data/PDFData/0212BTRT/btrt-11-289.pdf","source":{"id":"https://openalex.org/S2764476047","display_name":"Brain Tumor Research and Treatment","issn_l":"2288-2405","issn":["2288-2405","2288-2413"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","kci-candidate"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain Tumor Research and Treatment","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9922999739646912,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4388399982.pdf","grobid_xml":"https://content.openalex.org/works/W4388399982.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W173376183","https://openalex.org/W1498762382","https://openalex.org/W2008991574","https://openalex.org/W2047342469","https://openalex.org/W2067303778","https://openalex.org/W2132880366","https://openalex.org/W2894011394","https://openalex.org/W2922727782","https://openalex.org/W2930893240","https://openalex.org/W2942892744","https://openalex.org/W3154779924","https://openalex.org/W3157484775","https://openalex.org/W4319773021"],"related_works":["https://openalex.org/W2997003241","https://openalex.org/W4396897190","https://openalex.org/W3154779924","https://openalex.org/W4321768674","https://openalex.org/W3110899703","https://openalex.org/W2891009227","https://openalex.org/W2894011394","https://openalex.org/W4413412684","https://openalex.org/W4388413894","https://openalex.org/W3157484775"],"abstract_inverted_index":{"Epilepsy":[0],"surgery":[1,43,165,208],"is":[2,166,181],"a":[3,36,50,87,110,158,167],"well-established":[4],"treatment":[5],"for":[6,115,133,170,201,220],"drug-resistant":[7],"epilepsy,":[8],"with":[9],"awake":[10,41,90,123],"craniotomy":[11,91],"being":[12],"used":[13,132,183],"in":[14,69,79,99,184,209],"certain":[15],"cases":[16],"to":[17,44,62,66,121],"remove":[18],"epileptogenic":[19,77,97,172],"foci":[20,173],"while":[21,174],"preserving":[22,175],"crucial":[23],"brain":[24],"functions.":[25,178],"We":[26],"are":[27],"presenting":[28],"the":[29,76,80,96,100,119,125,143,161,199],"first":[30],"reported":[31],"case":[32,197],"from":[33],"Pakistan":[34],"of":[35,52,95,156,195,206],"19-year-old":[37],"woman":[38],"who":[39],"underwent":[40,86],"epilepsy":[42,164,207],"treat":[45],"cortical":[46],"dysplasia.":[47],"She":[48],"had":[49],"history":[51],"generalized":[53],"tonic-clonic":[54],"seizures":[55],"since":[56],"her":[57],"childhood":[58],"and":[59,73,92,113,129,153,186,204],"was":[60,106,148],"referred":[61],"our":[63],"clinic":[64],"due":[65],"an":[67,93],"increase":[68],"seizure":[70],"frequency.":[71],"EEG":[72],"MRI":[74],"identified":[75],"focus":[78,98],"right":[81,101],"parieto-temporal":[82,102],"region.":[83,103],"The":[84,104,146,192],"patient":[85,120,147],"neuro-navigation":[88],"guided":[89],"excision":[94],"procedure":[105],"carried":[107],"out":[108],"using":[109,216],"scalp":[111],"block":[112],"dexmedetomidine":[114],"conscious":[116],"sedation,":[117],"enabling":[118],"remain":[122],"throughout":[124],"surgery.":[126,162],"Intraoperative":[127],"mapping":[128],"electrocorticography":[130],"were":[131],"complex":[134],"multidisciplinary":[135],"care.":[136],"Post-resection":[137],"corticography":[138],"showed":[139],"no":[140],"spikes":[141],"along":[142],"resected":[144],"margins.":[145],"discharged":[149],"without":[150],"any":[151],"complications":[152],"remained":[154],"free":[155],"symptoms":[157],"year":[159],"after":[160],"Awake":[163],"viable":[168],"option":[169],"removing":[171],"vital":[176],"cognitive":[177],"However,":[179],"it":[180],"seldom":[182],"low-":[185],"middle-income":[187],"countries":[188],"such":[189,214],"as":[190,215],"Pakistan.":[191],"successful":[193],"outcome":[194],"this":[196],"underscores":[198],"need":[200],"greater":[202],"awareness":[203],"availability":[205],"resource-limited":[210],"settings.":[211],"Cost-effective":[212],"measures,":[213],"small":[217],"subdural":[218],"strips":[219],"intraoperative":[221],"localization,":[222],"can":[223],"be":[224],"implemented.":[225]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-11-06T00:00:00"}
