I have read with great interest the article contributed by Major J. N. Duggan, d.o. (Oxon.), of Bombay, describing in detail the method of deep infiltration anaesthesia of the orbit. Since then I had occasion *to use this form of anaesthesia in 11 cataract operations and in 2 cases of sclero-corneal trephining operations for sub-acute glaucoma. Though this is not in itself a big record to go up...

This study investigated the relationship between neurotransmitters and improvement of symptoms after ventriculoperitoneal shunting in congenital hydrocephalus (LEW-HYR) rats. Twenty-four patent hydrocephalus rats, aged 12-14 days, were randomly assigned to the following four groups: ventriculoperitoneal shunt group, obstructed shunt group, burr hole group, and no treatment group. In addition, s...

Remote cerebellar hemorrhage (RCH) after burr-hole evacuation for chronic subdural hematoma (cSDH) is a rare and uncommon complication of minor supratentorial surgery with very few reports in the literature and an uncertain etiology. We present the case of a 62-year-old male who underwent single burr-hole trepanation for unilateral cSDH, revealing incidental RCH on routine postoperative compute...

AIM To evaluate the surgical treatment of a chronic subdural haematoma (CSDH). We compared two surgical treatments of CSDH: burr-hole craniostomy irrigation with and without drainage. MATERIAL AND METHODS We retrospectively studied patients with chronic subdural haematomas admitted to our hospital. A total of 87 patients underwent surgery: 57 were treated via burr-hole irrigation with postope...

OBJECTIVE Most symptomatic chronic subdural hematomas are treated by subdural drainage. However, a subperiostal (i.e., extracranial) passive closed-drainage system in combination with double burr hole trepanation is used at our institution. Therefore, we wanted to analyze our results and compare them with the alternate treatment strategies reported in the current literature. METHODS In a retr...

BACKGROUND Repeat burr hole irrigation and drainage has been effective in most cases of recurrent chronic subdural hematoma (CSDH), however, refractory cases require further procedures or other interventions. CASE DESCRIPTION An 85-year-old male presented with left CSDH, which recurred five times. The hematoma was irrigated and drained through a left frontal burr hole during the first to thir...

Appropriate placement of the keyhole at the transverse and sigmoid sinus (T/S) junction is important for performance of safe and accurate lateral suboccipital craniotomy with minimum bone loss. Here, we report a method for predicting the position of the T/S junction and investigate the relationship between the T/S junction and asterion. The subjects were 88 patients treated surgically via a lat...

Objective To determine the clinical outcome of burr-hole aspiration of brain abscess. Methods We analyzed 100 cases of intracranial abscess, treated surgically from January 2015 and October 2016 at Jinnah Postgraduate Medical Centre (JPMC). All patients were treated with burr hole aspiration. Medical records were analyzed for demographics, clinical presentation, predisposing factors, abscess ...

AIM To evaluate timing of scheduled CT-scans after burr hole trepanation for chronic subdural hematoma (cSDH). MATERIAL AND METHODS 131 patients with primary cSDH were included. Scheduled CT-scans were performed after burr hole trepanation and placement of a subdural drain. The influence of CT-scanning with or without indwelling drain was analysed regarding subsequent surgery and CT-scans, du...

AIM To observe the outcome of burr hole evacuation of extradural hematoma (EDH) in mass head injury. MATERIAL AND METHODS This study included patients of any age who sustained head injury in the earthquake of October 8, 2005, were diagnosed as EDH on computed tomography (CT) scan and were admitted in the neurosurgery ward over a period of 3 days. All patients were followed by serial CT scans ...