The prospect of brain surgery is enough to strike fear into the bravest of people.
But when the surgery is to be performed while the patient is wide awake and talking, it is doubly tense for the patient and his surgeons.
The first awake brain surgery, also called brain mapping, in the Gulf was performed recently on a 38-year-old man at Sheikh Khalifa Medical City (SKMC) in Abu Dhabi.
The patient was admitted with severe epileptic seizures, an inability to speak normally and paralysis on the right side of his body.
A multi-disciplinary team of doctors led by Dr Maher Mansour, a consultant neurosurgeon at SKMC, removed a brain tumour during the six-hour surgery,
Because the tumour had developed near the part of the brain responsible for vocalisation and speech, there was a risk that the patient could lose his ability to speak if certain cells were damaged or accidentally removed.
"For [this] reason, it was indicated to do this procedure with the patient awake, in order to assess him while we do electrical stimulation on the region we wanted to remove, ensuring that no cells from the normal brain are removed," Dr Mansour said.
Brain surgery is always risky due to the complex nerve and cell structures involved and the specific functions that are associated with particular areas.
A team of speech therapists was also in the operating theatre to track the patient's responses. Doctors sedated the patient, who was under local anaesthetic.
Dr Mansour said the hospital was prepared to perform this type of brain surgery again.
"We have the specific technology for this kind of procedure and having successfully done it once, we would like to say that we can do it again in the future," he said.
newsdesk@thenational.ae
Notable salonnières of the Middle East through history
Al Khasan (Okaz, Saudi Arabia)
Tamadir bint Amr Al Harith, known simply as Al Khasan, was a poet from Najd famed for elegies, earning great renown for the eulogy of her brothers Mu’awiyah and Sakhr, both killed in tribal wars. Although not a salonnière, this prestigious 7th century poet fostered a culture of literary criticism and could be found standing in the souq of Okaz and reciting her poetry, publicly pronouncing her views and inviting others to join in the debate on scholarship. She later converted to Islam.
Maryana Marrash (Aleppo)
A poet and writer, Marrash helped revive the tradition of the salon and was an active part of the Nadha movement, or Arab Renaissance. Born to an established family in Aleppo in Ottoman Syria in 1848, Marrash was educated at missionary schools in Aleppo and Beirut at a time when many women did not receive an education. After touring Europe, she began to host salons where writers played chess and cards, competed in the art of poetry, and discussed literature and politics. An accomplished singer and canon player, music and dancing were a part of these evenings.
Princess Nazil Fadil (Cairo)
Princess Nazil Fadil gathered religious, literary and political elite together at her Cairo palace, although she stopped short of inviting women. The princess, a niece of Khedive Ismail, believed that Egypt’s situation could only be solved through education and she donated her own property to help fund the first modern Egyptian University in Cairo.
Mayy Ziyadah (Cairo)
Ziyadah was the first to entertain both men and women at her Cairo salon, founded in 1913. The writer, poet, public speaker and critic, her writing explored language, religious identity, language, nationalism and hierarchy. Born in Nazareth, Palestine, to a Lebanese father and Palestinian mother, her salon was open to different social classes and earned comparisons with souq of where Al Khansa herself once recited.
UAE v United States, T20 International Series
Both matches at ICC Academy, Dubai. Admission is free.
1st match: Friday, 2pm
2nd match: Saturday, 2pm
UAE squad: Mohammed Naveed (captain), Rohan Mustafa, Ashfaq Ahmed, Shaiman Anwar, Rameez Shahzad, Amjad Gul, CP Rizwan, Mohammed Boota, Abdul Shakoor, Ahmed Raza, Imran Haider, Sultan Ahmed, Zahoor Khan, Amir Hayat
USA squad: Saurabh Netravalkar (captain), Jaskaran Malhotra, Elmore Hutchinson, Aaron Jones, Nosthush Kenjige, Ali Khan, Jannisar Khan, Xavier Marshall, Monank Patel, Timil Patel, Roy Silva, Jessy Singh, Steven Taylor, Hayden Walsh
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The Prison Letters of Nelson Mandela
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MATCH INFO
Barcelona v Real Madrid, 11pm UAE
Match is on BeIN Sports
'Outclassed in Kuwait'
Taleb Alrefai,
HBKU Press
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The Cockroach
(Vintage)
Ian McEwan