In the postoperative period, 47% to 75% of the patients report some degree of pain. This study aimed to evaluate pain in the pre and postoperative period of patients submitted to craniotomy. This prospective research was carried out at the neurosurgery unit of a large Brazilian hospital. For a quantitative evaluation of pain, the verbal numeric 0-10 rating scale was used. Forty patients with a ...

Today, the Specialist in Otorhinolaryngology often has to perform surgery requiring an endocranial approach, as, for instance, in the case of neoplastic or inflammatory disorders, or even in malformations. These specialists should, therefore, not forget one of the most important Chapters in the History of Medicine and Ethnology: that related to the evolution of craniotomy over thousands of year...

Adjuvant irradiation of the resection cavity after craniotomy is a newer application of stereotactic radiosurgery. This technique has been proposed to avoid long-term neurotoxicity of whole-brain radiation therapy, and seems to afford comparable local control rates in the multiple published retrospective series so far. Currently, many questions remain to be answered to define the optimal patien...

IN this issue of ANESTHESIOLOGY, Rozet et al. present the findings of a comprehensive study comparing two hyperosmolar agents, hypertonic saline (HS) and mannitol, for brain relaxation during craniotomy. This work calls into question whether sufficient information is now available to advocate substitution of mannitol with HS to promote brain relaxation during routine craniotomy. It was discover...

BACKGROUND The "floating anchored" craniotomy is a technique utilized at our tertiary neurosurgery institution in which a traditional decompressive craniectomy has been substituted for a floating craniotomy. The hypothesized advantages of this technique include adequate decompression, reduction in the intracranial pressure, obviating the need for a secondary cranioplasty, maintained bone protec...

The orbitozygomatic approach provides wide, multidirectional access to the anterior and middle cranial fossae, as well as to the upper third of the posterior fossa and clivus. The authors describe technical details of the surgical approach as it has evolved over 3.5 years of experience in 83 consecutive cases. This modified technique eliminates the need for bone reconstruction of the orbital wa...

OBJECTIVE To describe a rare case of tumoral cervical chondrocalcinosis that appeared 28 years after the patient had undergone suboccipital craniotomy. CLINICAL PRESENTATION A 42-year-old woman suffered from cervicalgia associated with a firm mass at the occipitocervical region. Plain x-ray and computed tomographic and magnetic resonance images revealed a calcified lesion in a scar from a pre...

Background A number of the anesthesia regimens are used in craniotomy. Rapid emergence is one of the important goals in Neuroanesthesia. In this study, we compared desflurane inhalation and propofol TCI regimen in patients undergoing craniotomy for temporal lobectomy regarding recovery profiles including time of recovery, cognitive function, postoperative pain, post-operative nausea and vomitin...