Ramin Rak- Performing Awake Craniotomies

Ramin Rak is has earned high praise from news outlets and medical publications across the country for his technique for performing awake craniotomies.

An awake craniotomy is a complex procedure that Ramin Rak and other neurosurgeons use to remove tumors located in parts of the brain that regular neurosurgical procedures cannot reach.

For instance, tumors intertwined with tissue in the eloquent cortices of the brain are especially hard to reach. While modern neurosurgical techniques can still reach these tumors, there is too much risk of damage to the patient’s sensory abilities during surgery, so surgeons cannot remove these tumors without performing awake craniotomies.

When performing awake craniotomies, Ramin Rak begins by sedating the patient so that he can make the initial incision in the patient’s scalp.

Since the patient is sedated at this time, he or she does not feel any pain. Once the cut has been made, Ramin Rak gently wakes up the patient and allows him or her to process the sights and sounds of the room. While the patient reacts to the surroundings, Ramin Rak uses these reactions to create a map of his or her brain. Ramin Rak then uses this map of the frontal region of the brain to determine how to operate on the patient.

During the procedure, the patient’s motor abilities can be impacted by one wrong move.

By performing awake craniotomies, Ramin Rak can monitor the patient’s motor skills during the procedure. He can ask the patient to lift an arm, repeat a certain word, blink, or carry out another action to determine if fine motor skills are still intact. Monitoring these skills throughout the procedure ensures that a problem will be discovered and rectified before the procedure is over.

Ramin Rak performs the awake craniotomy procedure at the 11 hospitals affiliated with Neurological Surgery, P.C. In 2010 he performed the first ever awake craniotomy at Huntington Hospital, which generated national media attention.

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