Awake craniotomy is still in its evolutionary stage and is generally successful in a highly motivated patient. The attending anesthesiologist must ensure that patient is optimally sedated and pain free yet readily arousable. In addition, it is essential to have a Plan B and C ready in case the first one fails. We adopted awake craniotomy technique in a 33 yr old male patient undergoing excision...

woman, Roopa, aged 30, said to have been ill with her first confinement for 5 days and to be at the point of death. We found her a well nourished woman, of low caste, much exhausted ; her labour at full time, having come on 5 days before. By digital examination the presentation was found to be natural; the outer parts much swollen ; the pelvis small and the head firmly wedged in the same. As it...

Conventional optical tracking systems use cameras near-infra-red (NIR) light detecting cameras and passively/actively NIR-illuminated markers to localize instrumentation and the patient in the operating room (OR), i.e. physical space. This technology is widely-used within the neurosurgical theatre and is a staple in the standard of care in craniotomy planning. To accomplish, planning is largely...

Chronic subdural hematomas (CSDH), which are frequently encountered in neurosurgical practice, are, in the majority of cases, ideally treated with surgical drainage. Despite this common practice, there is still controversy surrounding the best surgical procedure. With lack of clear evidence of a superior technique, surgeons are free to base the decision on other factors that are not related to ...