The limited opening can provide sufficient access while avoiding the larger bone removal associated with a craniotomy. That distinction matters when the intended task is localized, such as draining a chronic subdural hematoma, placing a catheter, or introducing an instrument. In selected cases, the smaller access route supports urgent or planned neurosurgical care with less extensive cranial exposure.
Bone removal is only the first access step. The surgeon may then open or pass through the dura beneath the skull to reach the intended space or structure. Throughout that transition, controlling bleeding and protecting brain tissue are central technical priorities, because access must enable treatment without compromising the tissue being approached.
Intracranial pressure management is supported by using the access for monitoring or reducing pressure. A catheter may be placed to provide access for ventricular drainage, allowing fluid removal when that is the clinical objective. Thus, the same limited route can serve a monitoring role or facilitate drainage, depending on the neurosurgical plan.
At the access stage, a drill is used to remove a limited area of cranial bone. Once the opening and underlying route are established, the surgeon may pass a catheter or other instruments through it. This makes the burr hole a focused entry point, with equipment selected according to whether the goal is drainage, monitoring, or another supported neurosurgical task.
An established workflow begins with drilling through the skull and removing a limited area of bone. The surgeon then opens or passes through the dura, reaches the relevant space or structure, and performs the intended intervention, such as draining blood or fluid or placing a catheter. Bleeding control and protection of brain tissue remain part of the procedure.
Clinical use spans urgent and planned neurosurgical care. The technique is especially relevant when a chronic subdural hematoma requires evacuation, but it can also support intracranial-pressure monitoring or reduction and ventricular drainage. The intended result is access for a specific therapeutic or monitoring purpose, rather than broad exposure of the cranial contents.