Fetal heart tone monitoring is a frequently used tool during nonobstetric maternal surgery to evaluate the immediate well-being of a fetus. We present a case of a parturient requiring an emergency craniotomy, during which fetal heart tone monitoring demonstrated fetal distress patterns. A simultaneous emergency craniotomy and emergency cesarean delivery proceeded with favorable outcomes for bot...

1. Júnior A de P, Erdmann TR, Santos TV, et al. Comparação entre bloqueios peridural e paravertebral torácicos contínuos para analgesia pós-operatória em pacientes submetidos a toracotomias: revisão sistemática. Rev Bras Anestesiol. 2013;63: 433--42. 2. Bueno NB. Explorando a heterogeneidade. In: Barbosa FT, editor. Introdução à Revisão Sistemática: a Pesquisa do Futuro. 2013, available at: htt...

A patient of tuberculous osteomyelitis of the bone flap following craniotomy for acute subdural hemorrhage which was treated at Surat Municipal Institute of Medical Education & Research (SMIMER) from June 2010 has been reported. This report emphasizes the fact that while treating osteomyelitis of bone flap following craniotomy, possibility of tuberculosis should be considered, especially in our...

The bifrontal craniotomy approach used to be associated with a high percentage of olfactory tract damage. We present our experience with this technique, that was used with excellent results in a series of 11 patients that underwent the surgical approach described in this paper. We support the idea that bilateral subfrontal craniotomy allows a wide operative exposure as well as the complete anat...

In most instances, gemistocytic astrocytoma progresses to anaplastic astrocytoma at the time of recurrence. Here, we report an unusual case where a gemistocytic astrocytoma converted to a more benign fibrillary histology after temozolomide/radiation therapy. We present the case of a 26-year-old woman with a history of fibrillary astrocytoma that was followed over a span of eight years and under...

A review of 32 cases of craniotomy performed at the Jinnah Postgraduate Medical Centre Karachi, over a period of 6 years from January, 1984 to December, 1989 is presented. Total number of deliveries during this period were 37,682. Frequency of craniotomy was 0.08% i.e., 1 in 1177 deliveries. Of these 32 craniotomies, 28 were done on non-deformed dead fetus, 16 because of obstructed labour, 7 in...

Computer-assisted neuronavigation (an image-guided technique that facilitates brain tumor surgery) reduces the risk of neurological morbidity. Postoperative neurological dysfunction is also minimized by performing intraoperative neurological testing during awake craniotomy with proper surgical resection of a brain tumor. However, when the patient's airway is not secured, an awake craniotomy can...

A 44-year-old Caucasian female was admitted with a subarachnoid hemorrhage owing to a multilobular tubular anterior communicating artery aneurysm. Eleven days after the original craniotomy, an epidural hematoma was evacuated. The patient was placed on empiric nafcillin antimicrobial coverage (two g every six hours). Within 24 hours, the onset of epistaxis and oozing of blood from the endotrache...

Hemophilia is an X-linked hemorrhagic disease due to coagulation factor VIII or IX deficiency with approximately 5-10% incidence of central nervous system bleeding. We present an intriguing case of a refractory subacute subdural hematoma (SDH) controlled with endovascular embolization in a hemophilic patient. A 5-year-old severe hemophilic A boy presented with a life threatening left parietal s...

Performing a craniotomy will cause brain tissue to shift. As a result of the craniotomy, the accuracy of stereotactic localization techniques is reduced unless the brain shift can be accurately measured. If an ultrasound probe is tracked by a 3D optical tracking system, intraoperative ultrasound images acquired through the craniotomy can be compared to pre-operative MRI images to quantify the s...