UNASSIGNED: The co-occurrence of primary @entity1313 and pregnancy poses unique challenges to the treating physician. If a rapidly growing lesion causes life-threatening mass effect, craniotomy for @entity5 debulking becomes urgent. The choice between awake craniotomy versus general anesthesia becomes complicated if the @entity5 is encroaching on eloquent brain because considerations pertinent to both @entity1 safety and oncological outcome, in addition to fetal wellbeing, are involved. A 31-year-old female at 30weeks gestation with twins presented to our hospital seeking awake craniotomy to resect a 7*6*5cm @entity1313 with 7mm left-to-right subfalcine herniation on imaging that led to word finding difficulty, dysfluency, right @entity912 , and right lower @entity425 . She had twice undergone @entity5 debulking under general anesthesia during the same pregnancy at an outside hospital at 16weeks and 28weeks gestation. There were considerations both for and against awake @entity1313 resection over surgery under general anesthesia. The decision-making process and the technical nuances related to awake @entity1313 resection in this @entity16 @entity1 are discussed. Awake craniotomy benefits the @entity1 who harbors a @entity5 that encroaches on the eloquent brain by allowing a greater extent of resection while preserving the language and sensorimotor function. It can be successfully done in pregnant @entity1 who are @entity16 . The @entity1 should be motivated and well informed of the details of the process. A multidisciplinary and collaborative effort is also crucial.

Awake XXXX resection during pregnancy: Decision making and technical nuances.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1313 :: ('MESH:D001932', 'Disease') :: ['brain tumor', 'left frontoparietal brain tumor'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurologically impaired'] @entity425 :: ('MESH:D018908', 'Disease') :: ['extremity weakness'] @entity912 :: ('MESH:D010243', 'Disease') :: ['upper extremity paralysis']
@entity1313 :: (MESH:D001932,Disease) :: ['brain tumor']
