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Awake Craniotomy Cortical Mapping — FRCA Final MCQ

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ModerateNeuroanaesthesiaAwake Craniotomy Cortical MappingFRCA Final

Awake craniotomy for dominant hemisphere glioma: cortical stimulation produces speech arrest. What does this indicate?

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Correct answer: DStimulated area is Broca's area — must preserve

Speech arrest during cortical stimulation localises eloquent cortex (Broca's area for production). Must be preserved with 5-10 mm margin. Key advantage of awake craniotomy: real-time functional mapping for maximal safe resection.

Reference: SBNS/RCOA – 2023 – Awake craniotomy guidelines