The Neuroscience Program at Miami Valley Hospital has the experience, expertise, and technology you want for the treatment of a brain injury or disorder.
During a craniotomy, a portion of the skull is removed to allow access to the brain. The skull is then replaced after the procedure is completed.
Access to the brain is needed for many procedures:
- Removal of brain tumors
- Blood clots (sudural, epidural, intraventricular, and intracranial hematomas)
- Arteriovenous Malformations (AVM’s) - is an abnormal collection of blood cells.
- Foreign bodies - is any object originating outside the body.
- Biopsy of the brain
- Shunt insertion
- Drainage of abscesses
A craniectomy is performed to treat swelling of the brain with increased brain pressure (ICP). This procedure is usually performed as a result of trauma, but may be done for other reasons which cause increased intracranial pressure. During a craniectomy, a piece of the skull is removed and left off to allow the brain to swell without causing further pressure on the brain which would result in further damage.
A shunt is used to drain excess fluid from the brain. The shunt is a valve that is attached to a flexible catheter leading to the ventricle of the brain and to another catheter that is usually tunneled into the abdominal cavity (ventriculoperitoneal shunt). The catheter may also be placed near the lungs (pleural cavity) or near the heart (atrium of the heart). When extra pressure builds in the head, fluid is directed to the valve and then drains from inside the head down to the belly, space around the lung or heart. There is also a type of shunt (lumbar-peritoneal shunt) that is placed in the lower (lumbar) area of the spine with the catheter draining into the abdominal cavity (peritoneum).
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