BACKGROUND CONTEXT In recent literature, a soft-tissue communication between the rectus capitis posterior major (RCPma) muscle and the cervical dura mater has been identified. To the best of our knowledge, this communication has yet to be validated from a histological perspective nor has it been examined for neural tissue. PURPOSE The purpose of this study was to examine the composition and t...

BACKGROUND Subdural effusion in the setting of dural metastasis is very rare and may be difficult to be distinguished from chronic subdural hematoma. CASE PRESENTATION A 44-year old woman with gastric adenocarcinoma was presented with headache and a hypodense subdural collection in right fronto-parietal in brain CT. Burr-hole irrigation was performed with the impression of chronic subdural he...

An 86-year-old woman was admitted to the intensive care unit with a chronic subdural hematoma (CSDH) and rapid onset of worsening neurological symptoms. She was taken to the operating room for a mini-craniotomy for evacuation of the CSDH including excision of the dura and CSDH membrane. Postoperatively, a subdural evacuation port system (SEPS) was integrated into the craniotomy site and left in...

Repair of the dura after cranial neurosurgery can present a technical challenge and, for certain neurosurgical procedures, is critical to prevent cerebrospinal fluid leak and associated wound complications. Multiple options exist for dural repair, including the patient's own tissues, bovine collagen-derived commercially available grafts, as well as newer, entirely synthetic graft materials. Thi...

A 67-year-old woman sensed a slowly growing, painless hard mass in the left parietal region. Cranial computed tomography showed focal bony erosion and homogeneous sclerotic change at the affected site. Magnetic resonance (MR) imaging revealed an enhanced subcutaneous mass and irregularly thickened dura mater. Intraoperatively, the subcutaneous tumor was found to be strongly adhered to the tempo...

Coverings of the brain As introduced in the 2nd lecture, the brain is covered by three layers namely: dura mater, arachnoid, pia matter. The dura mater is of significance due to the venous sinuses and is the toughest layer/s (two layers in fact) – and its upper layer is directly attached to the periosteum. The blood vessels travel between the arachnoid and pia mater. The arachnoid and pia mater...

A method for constructing a simple, durable injection-microelectrode (injectrode) is described. The injectrode can record neuronal activity, stimulate neuronal tissues, or inject substances locally through its tip. The injectrode is lightweight and is easy to construct from commercially available parts, and it can be used repeatedly for multiple recordings and injections. Since dura penetration...