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Preoperatively, few patients had related subjective cognitive or behavioral impairment, while evaluations revealed mild deficits in 45% of cases, most often concerning executive functions, attention, working memory and speed processing. The median preoperative volume was 37 cc WHO grading was II, III and IV in 70%, 20%, and 10% of cases, respectively. Twenty surgical cases (including 5 cases of redo surgery) in eighteen patients (medium age: 42.5 ) were included in the study. Our results were then put in perspective with the literature. We studied the patients' subjective complaints and objective neuropsychological evaluations, both before and after surgery.

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We retrospectively analyzed a consecutive series of awake surgical resections between 20 for right frontal IDH-mutated glioma. To investigate long-term cognitive deficits after awake surgery in right frontal IDH-mutated glioma. However, tumors located in the right hemisphere, especially in the right frontal lobe, are still rarely operated on in awake condition one of the reasons possibly being that there is little information in the literature describing the rates and nature of long-lasting neuropsychological deficits following resection of right frontal glioma. Awake surgery for low-grade gliomas is currently considered the best procedure to improve the extent of resection and guarantee a 'worth living life' for patients, meaning avoiding not only motor but also cognitive deficits.

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