Burr Hole Drilling
Burr Hole Drilling - Related Videos
09:02
Application of 3D Printing in the Construction of Burr Hole Ring for Deep Brain Stimulation Implants
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Cited by 3 •
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Here, we present a protocol to demonstrate 3D printing in the construction of deep brain stimulation implants.
06:18
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
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A method of recording multimodality monitoring signals in patients with severe brain injuries using a bedside, single burr hole technique is described.
01:10
Detection of Black Holes
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Although black holes were theoretically postulated in the 1920s, they remained outside the domain of observational astronomy until the 1970s. Their closest cousins are neutron stars, which are composed almost entirely of neutrons packed against each other, making them extremely dense. A neutron star has the same mass as the Sun but its diameter is only a few kilometers. Therefore, the escape velocity from their surface is close to the speed of light. Not until the 1960s, when the first neutron...
07:25
Ovine Lumbar Intervertebral Disc Degeneration Model Utilizing a Lateral Retroperitoneal Drill Bit Injury
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Intervertebral disc degeneration is a significant contributor to back pain and a leading cause of disability worldwide. Numerous animal models of intervertebral disc degeneration exist. We demonstrate an ovine model of intervertebral disc degeneration, utilizing a drill bit, which achieves a consistent disc injury and reproducible level of disc degeneration.
04:26
Accessing the Porcine Brain via High-Speed Pneumatic Drill Craniectomy
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Cited by 2 •
2024
This protocol describes performing a craniectomy using a high-speed pneumatic drill on a 3-month-old Danish Landrace pig. The access is made through the frontal bone and reveals the ventral dura mater and underlying cerebral hemispheres. This procedure allows for access to a large portion of the pig brain.
FAQs
The key technical priority is controlled removal of a circular section of skull while preserving the dura mater, the protective membrane beneath the bone. The drill creates access without intentionally entering brain tissue, allowing clinicians to reach the intracranial space while limiting disruption of deeper structures. This protection is central to targeted neurosurgical care.
The dura mater serves as an important boundary between the skull opening and the brain. During drilling, clinicians must protect this layer while removing bone, because the intended access is to the intracranial space rather than directly through brain tissue. Preserving the dura supports controlled drainage, sampling, or device placement through the resulting opening.
A burr hole can provide a direct route for addressing conditions that increase pressure around the brain. Clinicians may use the opening to drain subdural or epidural blood collections, which can occupy intracranial space, or to place monitoring devices. These applications make the procedure relevant when pressure must be assessed or relieved through targeted access.
The procedure begins with preparation of the scalp and skull. A specialized drill then removes a circular portion of bone while the operator protects the underlying dura mater and brain tissue. Once access is created, clinicians can use the opening for drainage, sampling, pressure monitoring, or other targeted neurosurgical care supported by the clinical situation.
Its value in emergency medicine comes from providing a rapid, minimally invasive route into the intracranial space. Clinicians may use it when blood has collected in subdural or epidural compartments or when elevated intracranial pressure requires prompt attention. The opening can support drainage or monitoring, linking the procedure to urgent pressure-related neurosurgical management.
The access point can support several distinct clinical goals. It may allow clinicians to drain subdural or epidural collections, obtain samples for evaluation, or place devices that monitor intracranial conditions. Thus, the procedure can contribute both therapeutic and diagnostic information, depending on whether the priority is relieving pressure, characterizing a collection, or observing intracranial status.