A small modification to a decompressive craniotomy to improve the brain-cranium interface: technical note.
One underlying aspect of a decompressive craniotomy is the brain-cranium interface. Due to the high pressure, the brain has the tendency to mushroom and squeeze the brain tissue at the bony edges of the craniotomy. A small modification to the decompressive craniotomy is described. The inner tabula and part of the diploe are drilled away using a high-speed drill (using either a sharp or a diamond drill) prior to opening the dura while during drilling, the dura is protected with a spatula.
Kools
D
D
Department of Neurosurgery, University Hospital Antwerp, Edegem, Belgium.
Menovsky
T
T
Ost
J
J
De Ridder
D
D
D001921:Brain / Q000473:pathology / Q000601:surgery; D003399:Craniotomy / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods*; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods*; D012886:Skull / Q000473:pathology / Q000601:surgery