Video: Decompressive Craniectomy

Craniotomy and Craniectomy

Published on Jan 7, 2014 

 View more NUCLEUS medical animations at http://www.nucleuslibrary.com.

If you like this animation, LIKE us on Facebook: http://www.nucleusinc.com/facebook.

http://www.nucleusinc.com/medical-animations This 3D medical animation depicts two operations, called craniotomy and craniectomy, in which the skull is opened to access the brain. The normal anatomy of the skull and tissues surrounding the brain are shown, including arteries and veins. The animation lists the common reasons for these procedures, and briefly introduces intracranial pressure.

Transcript:

• Your doctor may recommend a craniotomy or a craniectomy procedure to treat a number of different brain diseases, injuries, or conditions.
• Your skull is made of bone and serves as a hard, protective covering for your brain.
• Just inside your skull, three layers of tissue, called meninges, surround your brain. 
• The thick, outermost layer is the dura mater.
• The middle tissue layer is the arachnoid mater and the innermost layer is the pia mater.
• Between the arachnoid mater and the pia mater is the subarachnoid space, which contains blood vessels and a clear fluid called cerebrospinal fluid.
• Blood vessels, called bridging veins, connect the surface of your brain with the dura mater.
• Other blood vessels, called cerebral arteries, bring blood to your brain.
• Inside your skull, normal brain function requires a delicate balance of pressure between the blood in your blood vessels, ... the cerebrospinal fluid that surrounds your brain, ... and your brain tissue.
• This is called normal intracranial pressure.
• Increased intracranial pressure may result from:
• brain tumours, 
• head injuries, 
• problems with your blood vessels, 
• or infections in your brain or spinal cord. 
• These conditions put pressure on your brain and may cause it to swell or change shape inside your skull, which can lead to serious brain injury.
• Your doctor may recommend a craniotomy to remove:
• abnormal brain tissue, such as a brain tumor,
• a sample of tissue by biopsy,
• a blood clot, called a hematoma, 
• excess cerebrospinal fluid, 
• or pus from an infection, called an abscess. 
• A craniotomy may also be done to: 
• relieve brain swelling, 
• stop bleeding, called a hemorrhage, 
• repair abnormal blood vessels, 
• repair skull fractures, 
• or repair damaged meninges. 
• Finally, a craniotomy may also be done to: 
• treat brain conditions, such as epilepsy, 
• deliver medication to your brain, 
• or implant a medical device, such as a deep brain stimulator. 
• The most common reason for a craniotomy is to remove a brain tumor.

Standard YouTube License @ Nucleus Medical Media

Craniectomy

Published on Sep 1, 2014

SSTattler: She will demonstrate "craniotomy and craniectomy", "stroke (ischemia vs hemorrhage)", "hemicraniectomy", "pro's vs con's", "cerebral aneurysm", etc...

Standard YouTube License @ Sophia Correa

Bilateral Frontotemporal Decompressive Craniectomy (Kjellberg Procedure)

Uploaded on Jul 18, 2011

SSTattler: 1) Lot of real blood, real surgery, etc... so if your squeamish just do not view this YouTube, 2) Motorcycle accident but they demonstrate "Decompressive Craniectomy".

The Columbia University Medical Center Department of Neurological Surgery faculty will lead you through a bilateral frontotemporal decompressive craniectomy. A 27 year-old male with no medical history presents with a GCS of 3 immediately after a high speed motorcycle accident. A head CT showed bilateral contusions and an ICP parenchymal monitor was placed. A repeat head CT showed diffuse cerebral edema and blossoming contusions. Presented by Ricardo Komotar, MD; Christopher Kellner, MD; Marc Otten, MD; E. Sander Connolly Jr., MD; and Guy McKahnn, II, MD.

Standard YouTube License @ AANSNeurosurgery

Craniotomy for Tumor - Duke Samson, MD

Uploaded on Feb 8, 2011

SSTattler: Note this is craniotomy (i.e. details about removal a tumour...) not a craniectomy (swelling the brain to have more room...). The both type of surgery is about equivalent.

Duke Samson, MD, UT Southwestern Medical Center at Dallas, performs a frontal craniotomy and removes a meningioma, a benign tumor.

Standard YouTube License @ UTSW Neurozone

Drilling Burr Holes in Bone Dissection

Published on Feb 22, 2013

This video is the first of six surgical and procedural skills modules developed by the Bootcamp Subcommittee of the Committee on Resident Education of the Society of Neurological Surgeons. It was developed to supplement the PGY1 Bootcamp courses and is meant to help individuals prepare for, reflect on and learn from the valuable skills learning that happens at the courses themselves.

This first installment focuses on drilling burr holes using a high-speed drill. The use of acorn, matchstick and perforator drill bits are discussed.

Standard YouTube License @ AANSNeurosurgery

Performing a Craniotomy Flap

Published on Feb 28, 2013

This video shows the necessary equipment necessary to perform a craniotomy flap. Expert guidelines for using the cranial drill, creating burr holes, performing a craniotomy using single or multiple burr holes, and free hand craniotomy are discussed.

This video is the second of six surgical and procedural skills modules developed by the Bootcamp Subcommittee of the Committee on Resident Education of the Society of Neurological Surgeons. It was developed to supplement the PGY1 Bootcamp courses and is meant to help individuals prepare for, reflect on and learn from the valuable skills learning that happens at the courses themselves.

Standard YouTube License @ AANSNeurosurgery

Dural Closure and Duraplasty

Published on Mar 7, 2013

This video shows how to open the dura to visualize the underlying cortical structures, securing the dura, using a dural synthetic substitute, and closing the dura.

This video is the third of six surgical and procedural skills modules developed by the Bootcamp Subcommittee of the Committee on Resident Education of the Society of Neurological Surgeons. It was developed to supplement the PGY1 Bootcamp courses and is meant to help individuals prepare for, reflect on and learn from the valuable skills learning that happens at the courses themselves.

Standard YouTube License @ AANSNeurosurgery

Cranial Flap Fixation

Published on Mar 13, 2013

This video explains details on cranial flap fixation including placement and securing metal plates to bone flaps.

This video is the fourth of six surgical and procedural skills modules developed by the Bootcamp Subcommittee of the Committee on Resident Education of the Society of Neurological Surgeons. It was developed to supplement the PGY1 Bootcamp courses and is meant to help individuals prepare for, reflect on and learn from the valuable skills learning that happens at the courses themselves.

Standard YouTube License @ AANSNeurosurgery

Performing a Cranioplasty

Published on Mar 20, 2013

This video shows a cranioplasty using an appropriate size and shaped mesh, points for secure fixation, and application of bone cement.

This video is the fifth of six surgical and procedural skills modules developed by the Bootcamp Subcommittee of the Committee on Resident Education of the Society of Neurological Surgeons. It was developed to supplement the PGY1 Bootcamp courses and is meant to help individuals prepare for, reflect on and learn from the valuable skills learning that happens at the courses themselves.

Standard YouTube License @ AANSNeurosurgery

Skin Closure

Published on Mar 27, 2013

This video shows skin closure stitches to include: diagonal, running lock, and straight stitch closure are discussed.

This video is the sixth of six surgical and procedural skills modules developed by the Bootcamp Subcommittee of the Committee on Resident Education of the Society of Neurological Surgeons. It was developed to supplement the PGY1 Bootcamp courses and is meant to help individuals prepare for, reflect on and learn from the valuable skills learning that happens at the courses themselves.

Standard YouTube License @ AANSNeurosurgery

Decompressive Cranium: Randomized Trails

Published on May 23, 2012

Peter Hutchinson, MD

Standard YouTube License @ cnsvideolibrary

Is Performing Decompressive Hemicraniectomy for Malignant Ischemic Stroke

Published on Feb 4, 2014

From the 2013 AAN annual meeting: What is the clinical importance of new research on the cost-effectiveness of decompressive hemicraniectomy for malignant stroke? In a video interview, Kevin N. Sheth, MD, chief of the Division of Neurocritical Care and Emergency Neurology and director of the Neurosciences Intensive Care Unit at Yale New Haven Hospital, discusses implications and next steps.

Standard YouTube License @ Neurology Today