Background:

Awake craniotomy surgery (ACS) is actually an effective neuroncology tool. Objective: To describe the treatment process in which ACS, with tridimensional identification of the tumor using neuronavigation and brain tissue contrast, associated with the endoscopic view, allowed for the safe maximal resection of the lesions.

Presentation:

Three patients are presented with diagnosis of brain tumor (2 glial tumor and 1 meningioma) surgically operated by awake craniotomy guided by minimally invasive images and endoscopic view. We used images, neuronavigation, view and magnification damage identification; magnetic resonance imaging (MRI), Brain Lab navigator, endoscopic view methods and tissue contrast (Fluoroscein). Conclusion: The harmonious combination of those procedures for a common purpose in awake surgery is a feasible, valid and safe option in our context.

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