Neurosurgery and Post-Surgical Care of the Critically Ill Cancer Patients

Craniotomy and Stereotactic Biopsy
  • Gilda V. MatuteEmail author
  • Thomas M. McHugh
Reference work entry


The etiology of brain tumors is not totally understood, but several studies are under progress trying to establish possible risk factors as well as a potential linkage with environmental changes and lifestyle. Brain tumors can be primary, which means they start in the brain, or can be secondary, also called metastatic, which means they are tumors with origin in other organs that have spread to the brain. Most brain tumors are secondary, or metastatic. Knowing the origin of the primary cancer is important, because it gives us information about tumor behavior and delineates the best course of treatment. Treatment modalities for brain tumors include surgery, radiation, chemotherapy, and immunotherapy, with the best results obtained when a multimodality approach is delivered. Advances in imaging technology offer fast and accurate diagnosis, intraoperative guidance, and optimal treatment evaluation. Consequently, health care providers are faced with the responsibility and challenge of staying current on emerging techniques and treatments in order to deliver the best patient care possible. This chapter provides nurses, residents, and all medical providers with important information about brain tumors and neurosurgery, specifically craniotomies, and includes the anesthetic techniques that are commonly utilized during the most common neurosurgical procedures.


Awake craniotomy Burr holes Craniotomy Fiducial markers Glioma Stereotactic Scalp block Supratentorial 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Anesthesiology and Perioperative ServicesThe University of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.Department of Anesthesiology and Perioperative Medicine, Division of Anesthesiology and Critical CareThe University of Texas MD Anderson Cancer CenterHoustonUSA

Section editors and affiliations

  • Garry Brydges
    • 1
  1. 1.Division of Anesthesia, Critical Care and Pain Medicine, Department of AnesthesiologyThe University of Texas MD Anderson Cancer CenterHoustonUSA

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