Craniotomy is a surgical procedure where a section of the skull is removed to access and expose the brain and intracranial structures. It is commonly used to clip aneurysms, remove tumors, abscesses or other lesions, decompress blood vessels, implant devices, biopsy tissue, or evacuate hematomas. Complications can include hemorrhage, seizures, cerebrospinal fluid leaks, infections, and neurological deficits. Craniotomies are classified based on location such as frontal, temporal, parietal or occipital, and may also be keyhole, stereotactic, or awake procedures. The case discussion involves an 11-year old girl who suffered head trauma in a car accident and showed signs of

1. NEUROSURGERIES
KEERTHI PRIYA MPT NEUROLOGY,
ASSISTANT PROFESSOR

2. CRANIOTOMY
INTRODUCTION:
Is a procedure in which
section of skull is removed in order to
access and expose the intracranial
components.

3. INDICATIONSClipping Of Aneurysm Removal of Abscess, Tumour, AVM,
Epileptogenic tissue
Micro vascular DecompressionVP Shunt
 Implant stimulator device
 To deliver drugs
 Biopsy
 Evacuation of hematoma

4. COMPLICATIONS
EARLY
Hematoma
Seizure
CSF leak
Cerebral infract
Pneumocephallus
Retention of fluid & Swelling
Emboli
LATE
 Infections
 Late seizures
 Loss of brain function
 Loss of special senses
 Diabetes inscipidus

5. CLASSIFICATION OF CRANIOTOMY
LOCATION
1. Frontal
2. Temporal
3. Parietal
4. Occipital
5. Pterional

6. CLASSIFICATION OF CRANIOTOMY
OTHER TYPES
 Key Hole
 Stereotactic
 Awake

7. CASE DISCUSSION

8. CASE DISCUSSION
A 11 YEAR old female has met with RTA on June 2nd was brought to hospital
with complaints of irritability & had LOC immediately after accident regained
within 30 mts. She was semiconscious when brought to hospital & decreased
cognitive abilities doctor has advised for CT scan.
RACOON’S SIGN +VE

9. CASE DISCUSSION

10. CASE DISCUSSION

11. CASE DISCUSSION