Ventriculoatrial Shunt
80 Ventriculoatrial ShuntPablo F. Recinos and Violette Renard Recinos Indications For patients in need of cerebrospinal fluid (CSF) diversion or who are already shunt dependent and distal peritoneal site and/or…
Ventriculoperitoneal Shunt–Revision
79 Ventriculoperitoneal Shunt–RevisionViolette Renard Recinos Indications Proximal or distal shunt malfunction Shunt disconnection Infection (Fig. 79.1) Elective revision for valve change or lengthening Contraindications Active cerebrospinal fluid (CSF) infection Abdominal…
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…
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…
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…
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…
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…
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…
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…
