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A craniotomy is a surgical operation in which a bone flap is temporarily removed from the skull to access the brain.Craniotomies are often critical operations, performed on patients who are suffering from brain lesions, such as tumors, blood clots, removal of foreign bodies such as bullets, or traumatic brain injury, and can also allow doctors to surgically implant devices, such as deep brain ...
In March 2011, investigators from Australia and several other countries published the results of the DECRA [5] trial in The New England Journal of Medicine.This was a randomized trial comparing decompressive craniectomy to best medical therapy run between 2002 and 2010 to assess the optimal management of patients with medically refractory ICP following diffuse non-penetrating head injury.
Severe acute pain following brain surgery may also increase the risk of a person developing a chronic post-craniotomy headache. [50] Approaches to treating pain in adults include treatment with nonsteroidal anti‐inflammatory drugs , which have been shown to reduce pain for up to 24 hours following surgery. [50]
Awake craniotomy is a neurosurgical technique and type of craniotomy that allows a surgeon to remove a brain tumor while the patient is awake to avoid brain damage. During the surgery, the neurosurgeon performs cortical mapping to identify vital areas, called the " eloquent brain ", that should not be disturbed while removing the tumor.
Cortical stimulation mapping is an invasive procedure that has to be completed during a craniotomy.Once the dura mater is peeled back, an electrode is placed on the brain to test motor, sensory, language, or visual function at a specific brain site.
While this treatment does not require an incision and craniotomy (with their own inherent risks), three or more years may pass before the complete effects are known, during which time patients are at risk of bleeding. [20] Complete obliteration of the AVM may or may not occur after several years, and repeat treatment may be needed.
A seroma is a pocket of clear serous fluid (filtered blood plasma).They may sometimes develop in the body after surgery, particularly after breast surgery, abdominal surgery, and reconstructive surgery.
Endoscopic third ventriculostomy (ETV) is a surgical procedure for treatment of hydrocephalus in which an opening is created in the floor of the third ventricle using an endoscope placed within the ventricular system through a burr hole. This allows the cerebrospinal fluid to flow directly to the basal cisterns, bypassing the obstruction.