Craniotomy: Difference between revisions

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== Description ==
== Description ==


A craniotomy is an operation where a part of the skull is removed in order to perform surgery on the brain<ref>Brain and Spine Foundation. Craniotomy Factsheet. Available from https://www.brainandspine.org.uk/our-publications/our-fact-sheets/craniotomy/ (Accessed 09/06/2022)</ref>. <br>  
A craniotomy is an operation where a part of the skull is removed in order to perform surgery on the brain<ref>Brain and Spine Foundation. Craniotomy Factsheet. Available from https://www.brainandspine.org.uk/our-publications/our-fact-sheets/craniotomy/ (Accessed 09/06/2022)</ref>. 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<ref name=":0">Fernández-de Thomas RJ, De Jesus O. Craniotomy. Treasure Island (FL): StatPearls Publishing, 2022</ref>.


== Indication ==
== Indication ==
A craniotomy may be used in the treatment and/ or diagnosis of a number of conditions including<ref>Johns Hopkins Medicine. Craniotomy. Available from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/craniotomy  (Accessed 03/06/2022)</ref>:
A craniotomy may be used in the treatment and/ or diagnosis of a number of conditions including<ref>Johns Hopkins Medicine. Craniotomy. Available from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/craniotomy  (Accessed 03/06/2022)</ref><ref name=":0" />:


* Brain tumours.
* Brain tumours.
* Brain haematoma.
* Aneurysms.
* Aneurysms.
* Blood clots.
* Blood clots.

Revision as of 14:05, 10 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).
  • 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

Another type of craniotomy is an awake craniotomy, where the patient is woken up during the procedure[6].

Diagnostic Tests[edit | edit source]

add text here relating to diagnostic tests for the condition

Pre-Op[edit | edit source]

add text here relating to the pre-operative advice

Post-Op[edit | edit source]

add text here relating to post-operative rehabilitation

Resources
[edit | edit source]

add appropriate resources here

References[edit | edit source]

  1. Brain and Spine Foundation. Craniotomy Factsheet. Available from https://www.brainandspine.org.uk/our-publications/our-fact-sheets/craniotomy/ (Accessed 09/06/2022)
  2. 2.0 2.1 Fernández-de Thomas RJ, De Jesus O. Craniotomy. Treasure Island (FL): StatPearls Publishing, 2022
  3. Johns Hopkins Medicine. Craniotomy. Available from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/craniotomy (Accessed 03/06/2022)
  4. 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).
  5. 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.
  6. Medindia. Craniotomy. Available from: https://www.medindia.net/surgicalprocedures/craniotomy.htm (Accessed 03/06/2022).