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Enhanced recovery after surgery of a giant pilocytic astrocytoma: A case report

Abstract

Introduction: Pilocytic astrocytoma (PA) is one of the most common benign glial tumors. Total resection is the main modality for the management of PA. Enhanced recovery after medical procedure (ERAS) is a widely used operative management approach. This case report discusses PA and its management with ERAS.

Case presentation: A 38-year-old male patient with complaints of blurred vision in both eyes in the last two years which became worse five months ago. Furthermore, the patient experienced severe headaches and left hemiparesis. Head computed tomography scan revealed the presence of space occupying lesion in the right frontoparietal area with a size of 7.3 x 7.4 x 6.1 cm which had caused a midline shift in the brain, uncal herniation, and edema. The surgery was performed at Pasar Minggu Regional Hospital of South Jakarta with ERAS management.  The patient was sent home on the third day. ERAS in cases of brain tumors is very possible to do with a special approach and strategy. The purpose of implementing ERAS is to improve patient safety, accelerate functional healing, improve postoperative outcomes, and control the efficiency of patient care costs.

Conclusion: The use of the ERAS method is proven to be a better choice of surgical technique for elective brain tumor surgery based on postoperative clinical manifestation, avoidance of complications, reduced length of stay, and cost-effectiveness.

Keywords: cost effective, enhanced recovery after medical procedure, improved post operative outcome, pilocytic astrocytoma

How to Cite

Tjahjadi, M., Muhammad Muhlis Rizki, Caropeboka, S., & Permana, C. (2023). Enhanced recovery after surgery of a giant pilocytic astrocytoma: A case report. Indonesian Journal of Neurosurgery, 6(3), 71–74. https://doi.org/10.15562/ijn.v6i3.252

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Mardjono Tjahjadi
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Muhammad Muhlis Rizki
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Sinatrya Caropeboka
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Christian Permana
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