We report the case of a 39-year-old male with complex cyanotic congenital heart disease undergoing emergency craniotomy for a cerebral abscess. Maintenance of intraoperative hemodynamic stability and adequate tissue oxygenation during anesthesia may be challenging in patients with cyanotic congenital heart disease. In this case, we decided to perform the surgery as an awake craniotomy after int...

From the Department of Neurosurgery (Bajunaid), Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada, the Department of Neurosurgery (Ajlan), Stanford University, Stanford, California, United States of America, the Division of Neurosurgery (Bajunaid), Faculty of Medicine, King Abdulaziz University, Jeddah, and the Division of Neurosurgery (Ajlan), Faculty of...

plagiocephaly (oblique skull) is premature fusion of one of the coronal sutures. frontal plagiocephaly is a rare congenital deformity in the skull that is the most complicated form of craniosynostosis to treat. examination of all sutures is necessary for diagnosis of craniosynostosis in this article, a 10-month-old, healthy girl with deformity of the right forehead and orbit that is caused by f...

Abstract Calcified chronic subdural hematomas (CCSDHs) are rare entities, whose yearly incidence ranges from 1.72 to 20.6 per every 100 thousand persons. Several different approaches their management reported in the literature, ranging conservative treatment craniotomy with full removal of neomembranes. Currently, there no guidelines or consensus that establish best technique. We herein report ...

An inverted papilloma of the frontal sinus is a challenging lesion for surgeons, both anatomical and pathological reasons. Despite trend away from an external approach towards endonasal endoscopic approach, indications remain. The options include trephination, transpalpebral orbital craniotomy, supraorbital transeyebrow osteoplastic flap, bifrontal craniotomy with cranialization. Each has advan...

INTRODUCTION Only few studies have investigated pain, nausea, sedation and analgesic strategies in post-craniotomy patients. The aim of this observational study was to explore pain, nausea, sedation and analgesic procedures after craniotomy, and to evaluate the quality of current analgesic therapy administered to post-craniotomy patients. MATERIAL AND METHODS A total of 59 patients undergoing...

OBJECT Awake craniotomy for removal of intraaxial tumors within or adjacent to eloquent brain regions is a well-established procedure. However, awake craniotomy failures have not been well characterized. In the present study, the authors aimed to analyze and assess the incidence and causes for failed awake craniotomy. METHODS The database of awake craniotomies performed at Tel Aviv Medical Ce...

Nowadays large doses of glucocorticoids are administered to prever.t cerebral edema during and after craniotomy for brain tumor. The influence of this glucocorticoids therapy on the hypothalamo-pituitary-adrenocortical response was studied clinically. Urinary total 17-hydroxycorticoids excretion ( 17-0H-CH) was estimated. Preoperative basal level of 17-0H-CS in brain tumor cases was lower than ...

UNLABELLED Emergence agitation is a frequent complication that can have serious consequences during recovery from general anesthesia. However, agitation has been poorly investigated in patients after craniotomy. In this prospective cohort study, adult patients were enrolled after elective craniotomy for brain tumor. The sedation-agitation scale was evaluated during the first 12 hours after surg...