Craniotomy: Difference between revisions
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Another type of craniotomy is an awake craniotomy, where the patient is woken up during the procedure<ref>Medindia. Craniotomy. Available from: https://www.medindia.net/surgicalprocedures/craniotomy.htm (Accessed 03/06/2022).</ref>. | Another type of craniotomy is an awake craniotomy, where the patient is woken up during the procedure<ref>Medindia. Craniotomy. Available from: https://www.medindia.net/surgicalprocedures/craniotomy.htm (Accessed 03/06/2022).</ref>. | ||
== Post-Op | == Post-Op Physiotherapy == | ||
The level of intervention and rehabilitation post craniotomy varies widely, and is influenced by a number of factors including the actual surgery, the condition which is being treated and also the effects of being in hospital<ref>Taylor B.S., Kellner C.P., Connolly, Jr. E. Postcraniotomy Complication Management. In: Lee K.(editor) The NeuroICU Book (Seconds Edition) [Online]. 2017. Available from: <nowiki>https://neurology.mhmedical.com/content.aspx?bookid=2155§ionid=16396534</nowiki> (Accessed 13/06/2022)</ref>. <br> | The level of physiotherapy intervention and rehabilitation post craniotomy varies widely, and is influenced by a number of factors including the actual surgery, the condition which is being treated and also the general effects of being in hospital<ref>Taylor B.S., Kellner C.P., Connolly, Jr. E. Postcraniotomy Complication Management. In: Lee K.(editor) The NeuroICU Book (Seconds Edition) [Online]. 2017. Available from: <nowiki>https://neurology.mhmedical.com/content.aspx?bookid=2155§ionid=16396534</nowiki> (Accessed 13/06/2022)</ref>. | ||
Within Neurological Intensive Care Units, physiotherapy intervention is both safe and beneficial<ref name=":2">Sottile PD, Nordon-Craft A, Malone D, Luby DM, Schenkman M, Moss M. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498141/ Physical Therapist Treatment of Patients in the Neurological Intensive Care Unit: Description of Practice]. Phys Ther. 2015; 95:1 006-1014. </ref>. The benefits include decreased length of hospital stay, decreased time on ventilation, improved muscle strength and increased independence in activities of daily living<ref>Li Z, Peng X, Zhu B, Zhang Y, Xi X. [https://pubmed.ncbi.nlm.nih.gov/23127305/ Active mobilization for mechanically ventilated patients: a systematic review]. Arch Phys Med Rehabil. 2013; 94: 551–561.</ref><ref>Garzon-Serrano J, Ryan C, Waak K, Hirschberg R, Tully S. Bittner E. et al. [https://pubmed.ncbi.nlm.nih.gov/21497316/ Early mobilization in critically ill patients: patients' mobilization level depends on health care provider's profession]. PM&R. 2011; 3: 307–313. | |||
</ref>. It has been found patients recieving intercrnaial pressure monitoring require less frequent and intensive physiotherapy<ref name=":2" />, <br> | |||
== Resources <br> == | == Resources <br> == |
Revision as of 09:51, 14 June 2022
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Description[edit | edit source]
A craniotomy is an operation where a part of the skull is removed in order to perform surgery on the brain[1]. If the removed part of bone is not put back, the operation is instead called a craniectomy, and the following surgery where the skull is reconstructed is called a cranioplasty[2].
Indication[edit | edit source]
A craniotomy may be used in the treatment and/ or diagnosis of a number of conditions including[3][2]:
- Brain tumours.
- Brain haematoma.
- Aneurysms.
- Blood clots.
- Increased intracranial pressure (ICP), common after traumatic brain injury.
- Arteriovenous malformations (AVMs).
- Arteriovenous fistulas (AVFs).
- Brain abscesses.
- Dura mater tear.
- Skull fractures.
- Epilepsy.
- To implant stimulator devices for movement disorders.
Types of craniotomy[edit | edit source]
Craniotomies can be classified by the location, size or surgical technique[4]
The location classifications are[5]:
- Frontal
- Temporal
- Parietal
- Occipital
- Pterional (Frontotemporal)
- Suboccipital
- Retrosigmoid
- Orbitozygomatic
The size can range from the smallest, a Burr Hole craniotomy or a keyhole craniotomy, to operations with bone flaps that are multiple centimeters in diameter[4][6].
Another type of craniotomy is an awake craniotomy, where the patient is woken up during the procedure[7].
Post-Op Physiotherapy[edit | edit source]
The level of physiotherapy intervention and rehabilitation post craniotomy varies widely, and is influenced by a number of factors including the actual surgery, the condition which is being treated and also the general effects of being in hospital[8].
Within Neurological Intensive Care Units, physiotherapy intervention is both safe and beneficial[9]. The benefits include decreased length of hospital stay, decreased time on ventilation, improved muscle strength and increased independence in activities of daily living[10][11]. It has been found patients recieving intercrnaial pressure monitoring require less frequent and intensive physiotherapy[9],
Resources
[edit | edit source]
add appropriate resources here
References[edit | edit source]
- ↑ Brain and Spine Foundation. Craniotomy Factsheet. Available from https://www.brainandspine.org.uk/our-publications/our-fact-sheets/craniotomy/ (Accessed 09/06/2022)
- ↑ 2.0 2.1 Fernández-de Thomas RJ, De Jesus O. Craniotomy. Treasure Island (FL): StatPearls Publishing, 2022
- ↑ Johns Hopkins Medicine. Craniotomy. Available from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/craniotomy (Accessed 03/06/2022)
- ↑ 4.0 4.1 Neurosurgeons of New Jersey. Understanding the Types and Purpose of Craniotomy. Available from: https://www.neurosurgeonsofnewjersey.com/blog/types-of-craniotomy/ (Accessed 09/06/2022).
- ↑ Rao, D., Le, R. T., Fiester, P., Patel, J., Rahmathulla, G. An Illustrative Review of Common Modern Craniotomies. Journal of clinical imaging science. 2020: 10; 81.
- ↑ Nahed B.V., Oglivy C.S., Anterior Circulation Aneurysms. In: Mohr J.P., Wolf P.A., Grotta J.C., Moskowitz M.A., Mayberg M.R., Kummer R.V. (editors). Stroke (Fifth Edition). W.B. Saunders, 2011. p.1301-1321.
- ↑ Medindia. Craniotomy. Available from: https://www.medindia.net/surgicalprocedures/craniotomy.htm (Accessed 03/06/2022).
- ↑ Taylor B.S., Kellner C.P., Connolly, Jr. E. Postcraniotomy Complication Management. In: Lee K.(editor) The NeuroICU Book (Seconds Edition) [Online]. 2017. Available from: https://neurology.mhmedical.com/content.aspx?bookid=2155§ionid=16396534 (Accessed 13/06/2022)
- ↑ 9.0 9.1 Sottile PD, Nordon-Craft A, Malone D, Luby DM, Schenkman M, Moss M. Physical Therapist Treatment of Patients in the Neurological Intensive Care Unit: Description of Practice. Phys Ther. 2015; 95:1 006-1014.
- ↑ Li Z, Peng X, Zhu B, Zhang Y, Xi X. Active mobilization for mechanically ventilated patients: a systematic review. Arch Phys Med Rehabil. 2013; 94: 551–561.
- ↑ Garzon-Serrano J, Ryan C, Waak K, Hirschberg R, Tully S. Bittner E. et al. Early mobilization in critically ill patients: patients' mobilization level depends on health care provider's profession. PM&R. 2011; 3: 307–313.