Cranial Stab Wounds
72 Cranial Stab WoundsGuy Rosenthal, Shirley I. Stiver, and Geoffrey T. Manley Cranial stab wounds are lower velocity and usually involve a smaller impact area than missile wounds. They can…
Epidural Hematoma Evacuation
66 Epidural Hematoma EvacuationChetan Bettegowda ♦ Preoperative Operative Planning Review imaging studies Non-contrast head computed tomography (CT) essential for precise localization of epidural hematoma (EDH) and for detecting skull fractures…
Intracranial Abscess
74 Intracranial AbscessClinton J. Baird Indications Need for diagnosis and/or decompression ♦ Preoperative Medical therapy based on immune status of patient (i.e., AIDS, lymphoma, chronic steroids) Most intracranial abscesses require…
Missile Injuries to the Brain
71 Missile Injuries to the BrainJames Waldron, Guy Rosenthal, and Geoffrey T. Manley The decision to operate on the patient with a missile injury to the brain requires careful consideration…
Repair of Skull Fractures
69 Repair of Skull FracturesKhan Li Indications Depressed skull fractures with significant displacement of fracture Underlying epidural hematoma or significant cortical contusion Compound depressed skull fractures Depressed skull fracture with…
Repair of Cerebrospinal Fluid Leaks (Cranial)
68 Repair of Cerebrospinal Fluid Leaks (Cranial)Khan Li Indications Persistent cerebrospinal fluid (CSF) rhinorrhea, CSF otorrhea, or incisional (iatrogenic) CSF leak Failure of CSF diversion trial with lumbar drain or…
Subdural Hematoma Evacuation
67 Subdural Hematoma EvacuationChetan Bettegowda ♦ Preoperative Operative Planning Review imaging studies Non-contrast head computed tomography (CT) essential for precise localization of subdural hematoma (SDH); most often located at the…
Transsylvian Functional Hemispherectomy
62 Transsylvian Functional HemispherectomyDevin K. Binder and Johannes Schramm Indications Unihemispheric syndromes associated with intractable epilepsy Common diagnoses: Infantile hemiplegia (e.g., posthemorrhagic) Perinatal cerebral infarct Sturge-Weber syndrome Rasmussen encephalitis Hemispheric…
Temporal Lobectomy and Selective Amygdalohippocampectomy
57 Temporal Lobectomy and Selective AmygdalohippocampectomyDevin K. Binder and Johannes Schramm Indications Medically intractable epilepsy localized to the temporal lobe or temporomesial structures The majority of cases of temporal lobe…
Superficial Frameless Stereotactic Biopsy
55 Superficial Frameless Stereotactic BiopsyMichael Lim ♦ Preoperative Imaging Magnetic resonance imaging (MRI): Pay particular attention to the optimal sequence and communicate the information to the radiologist (otherwise radiology will…
