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Awake craniotomies (AC) are proven to reduce the neurological deficit associated with tumour resection in areas of eloquent cortex. Successful performance requires not only technical skill, but the availability of neuronavigation, cortical mapping, intra-operative frozen section and the appropriate anaesthetic support. This case report describes the first fully awake craniotomy done in Trinidad, at a public hospital, for a patient with seizures secondary to a low-grade glioma. It resulted in an excellent patient outcome, with full cessation of seizures and no postoperative deficits.

Awake craniotomy for a low-grade glioma - a pilot procedure at a public hospital in Trinidad and Tobago