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5, P 0.01; postoperative day [POD] 0 median pain score 2.5 vs. 4, P 0.01; POD 0 mean opioid in mg 14.49 vs. 24.43, P 0.01). The time until patients requested opioids for pain after surgery was prolonged for RA versus GA [mean 7.23 vs. 3.42 hours, P 0.01). Somnolence (RASS on POD 0 was significantly reduced among RA versus GA, with 23% versus 43%. Both cohorts had equivocal postsurgical outcomes such as seizures, KPS, and hospital LOS. Frontotemporal craniotomy under RA during awake craniotomies provides bette