“…The possible reasons for trepanation have been the subject of much debate, without a consensus being reached. In ancient Peru, trepanation clearly served as a practical treatment for cranial trauma and depressed fracture (Stewart, 1957;Weiss, 1958;Kato et al, 2002;Verano, 2003), and in addition may have been performed, in a magico-therapeutic context, to treat a variety of intracranial and psychiatric disorders, such as headache, vertigo, neuralgia, coma, delirium, intracranial vascular catastrophe, meningitis, convulsions, epilepsy, and intracranial tumors (Asenjo, 1963;Campillo, 1984;Velasco-Suarez et al, 1992;Marino and Gonzales-Portillo, 2000). Mann (1991) reported a case in which chronic ear disease was a possible reason for trepanation.…”