Trephinations, Trephines, and Craniectomies: Contrast Between Global Ancient Civilizations and Pre-Hispanic Mexican Cultures

Carrillo-Ruíz, José Damián; Muratti-Molina, Eugenia Beatriz; Cojuc‐Konigsberg, Gabriel; Carrillo-Márquez, José Rodrigo

doi:10.1016/j.wneu.2023.03.088

Cited by 3 publications

(3 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found the following results: Only 28% (23 studies of 81) of the studies reported the size of the bone removal; the term most commonly used to report the surgical approach was "Craniectomy" in 30% of the articles (25 studies of 81), and the average size of the bone removal was not always the same in the studies. The range size reported for the term "craniectomy" according to this study was from 15 to 30 mm; for this reason, the term craniectomy is misused because in the rest of the literature it refers to approaches bigger than 40 mm [24,26].…”

Section: Discussionmentioning

confidence: 88%

“…In the beginning of the TN surgery, Dandy used to make big craniectomies to approach the cerebellopontine angle (≈7 × 5 cm) [25]. Nowadays, the use of smaller incisions is becoming more popular in the decompression of TN [26]. Nevertheless, there is confusion in the terminology used for the denomination of the bone removal; for example, the terms "craniotomy", "craniectomy", "burr hole", and "key hole" are commonly applied to refer to the approach without defining the size of this aperture.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Minimally Invasive Retrosigmoidal Parasterional Burr-Hole Approach: Technique and Neuropathic Pain Amelioration after Microvascular Decompression of the Trigeminal Nerve

Carrillo-Ruiz,

Covaleda-Rodríguez,

Díaz-Martínez

et al. 2023

Biomedicines

View full text Add to dashboard Cite

Background: Trigeminal neuralgia, a common condition in clinical practice, often occurs due to vascular compression caused by aberrant or ectopic arterial or venous vessels. Microvascular decompression through a minimally invasive retrosigmoidal approach has shown high rates of pain control, low complication rates, and excellent therapeutic results. Objective: To describe the surgical technique and clinical outcomes in terms of pain relief after microvascular decompression of the trigeminal nerve through a minimally invasive retrosigmoidal parasterional burr-hole technique. Methods: A group of patients with trigeminal neuralgia refractory to medical management who underwent microvascular decompression were examined. The records of the patients were considered retrospectively (2016–2018), and the outcomes were considered based on the Visual Analogue Scale (VAS) and the Barrow Neurological Institute Pain Scale (BNIPS) added to a technical note of the surgical technique for a minimally invasive retrosigmoidal parasterional burr-hole. Results: Twenty-two patients were evaluated, and clinical assessment after surgical intervention showed a decrease in pain according to the VAS, resulting from an average preoperative state of 9.5 ± 0.37 to a postoperative condition of 1.32 ± 1.28, exhibiting statistically significant changes (p < 0.0001, d = 9.356). On the other hand, in relation to the BNIPS scale, a decrease from an average preoperative status of 4.55 ± 0.25 to a postoperative status at 12 months of 1.73 ± 0.54 was also demonstrated, showing significant changes (p < 0.0001, d = 3.960). Conclusion: Microvascular decompression of the trigeminal nerve through a minimally invasive retrosigmoidal parasterional burr-hole is feasible and can be a safe and effective technique for the management of pain. However, further research employing larger sample sizes and longer follow-up periods is necessary.

show abstract

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Retrosigmoidal Parasterional Burr-Hole Approach: Technique and Neuropathic Pain Amelioration after Microvascular Decompression of the Trigeminal Nerve

Carrillo-Ruiz,

Covaleda-Rodríguez,

Díaz-Martínez

et al. 2023

Biomedicines

View full text Add to dashboard Cite

show abstract

“…24 Nowadays the use of smaller incisions are becoming more popular in decompression of TN. 25 Nevertheless, there is a confusion in the terminology used for the denomination of the bone removal such as the terms "craniotomy","craniectomy","burr hole", "key hole", are commonly applied to refer the approach, and most of the times without define the size of this aperture. The current trends of surgical management for TN are to perform smaller hole, including endoscopic techniques.…”

Section: Discussionmentioning

confidence: 99%

Minimal Invasive Retrosigmoidal Parasterional Burr-Hole Approach: Technique and Neuropathic Pain Amelioration after Microvascular Decompression of the Trigeminal Nerve

Carrillo-Ruiz,

Covaleda-Rodriguez,

Díaz-Martínez

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Trigeminal neuralgia associated to vascular compression, by aberrant or ectopic arterial or venous vessels, is a frequent condition in clinical practice. Management with microvascular decompression through a Minimal invasive retrosigmoidal has shown high rates of pain control, with low complication rates and excellent therapeutic results. Objective: To describe the surgical technique and clinical outcomes in terms of pain relief after microvascular decompression for trigeminal nerve, through a minimal invasive retrosigmoidal parasterional burr-hole technique. Methods: A group of patients with trigeminal neuralgia refractory to medical management who underwent microvascular decompression considering outcomes based on Visual Analogue Scale (VAS), and Barrow Neurological Institute Pain Scale (BNIPS). Added to a technical note of the surgical technique for a minimal invasive retrosigmoidal parasterional burr-hole. Results: Twenty-two patients were evaluated, clinical assessment after surgical intervention showed a decrease pain according to VAS, resulting from an average preoperative state of 9.5 ± 0.37 to a postoperative condition of 1.32 ± 1.28, exhibiting statistically significant changes (p < 0.0001, d = 9.356). On the other hand, in relation to the BNIPS scale, a decrease from an average preoperative status of 4.55 ± 0.25, to a postoperative status at 12 months of 1.73 ± 0.54 was also demonstrated, showing significant changes (p < 0.0001, d = 3.960). Conclusion: Microvascular decompression of the trigeminal nerve through a minimal invasive retrosigmoidal parasterional burr-hole is feasible and can be a safe and effective technique for the management of pain.

show abstract

A shaman’s surgical art? A neurosurgical and osteoarchaeological study of a therapeutic trepanation from the Yanghai cemetery in Turpan Basin, China

Sun,

Zhang,

Wang

et al. 2023

Archaeol Anthropol Sci

View full text Add to dashboard Cite

Trephinations, Trephines, and Craniectomies: Contrast Between Global Ancient Civilizations and Pre-Hispanic Mexican Cultures

Cited by 3 publications

References 55 publications

Minimally Invasive Retrosigmoidal Parasterional Burr-Hole Approach: Technique and Neuropathic Pain Amelioration after Microvascular Decompression of the Trigeminal Nerve

Minimally Invasive Retrosigmoidal Parasterional Burr-Hole Approach: Technique and Neuropathic Pain Amelioration after Microvascular Decompression of the Trigeminal Nerve

Minimal Invasive Retrosigmoidal Parasterional Burr-Hole Approach: Technique and Neuropathic Pain Amelioration after Microvascular Decompression of the Trigeminal Nerve

A shaman’s surgical art? A neurosurgical and osteoarchaeological study of a therapeutic trepanation from the Yanghai cemetery in Turpan Basin, China

Contact Info

Product

Resources

About