OR / Prep · Neurosurgery · open
You’re scrubbing into
Craniotomy for extradural haematoma
Why are we operating?
The lucid-interval emergency: a window of bone over the clot, the middle meningeal bleeding point chased and killed, the dura hitched so it cannot happen again.
Indication: Extradural haematoma with mass effect or deterioration; the operation is measured from decision, not admission.
The operation in 4 steps
01Positioning and the trauma flap
02Raising the bone flap
03Evacuation and the bleeding point
04Hitching and closure
Watch it done
CNS Neurosurgery 100: epidural hematoma
The society's core teaching on the lentiform bleed and the craniotomy that treats it.
Source: Congress of Neurological Surgeons · Watch on YouTube
Conceptual teaching for learners preparing to observe and assist under supervision, not operative instructions. Five minutes from now you should know why this operation exists, what its shape is, and which structures it is designed not to injure.