I had a full frontotemporal craniotomy under emergency conditions
(which means they cut the whole side of my head open, peeled my
scalp back, removed a section of my skull to get in my brain where
my bleeding was stopped, the AVM removed, the pools of blood within
my skull evacuated, & a resulting hematoma also removed…
(I had a massive stroke from all the blood lodging in areas where
it had no business being).
Click here if you'd like
to read the thank you letter I wrote the doc who heroically did
the following to me.
DATE OF Operation: 02/17/2004
PREOPERATIVE DIAGNOSES:
Right temporal intracerebral hematoma, possible Arteriovenous malformation.
POSTOPERATIVE DIAGNOSES:
Right intracerebral hematoma with arteriovenous malformation.
OPERATION PERFORMED: Right frontotemporal craniotomy
and removal of
Intracerebral hematoma and arteriovenous malformation.
SURGEON; Ralph Rydell, MD
PATIENT: Eric Haase
ANESTHESIA:
DESCRIPTION OF PROCEDURE: The patient was placed
on the operating room table and anesthesia was induced. The head
was turned to the left so the
right side was uppermost.
The head had been shaved and the horseshoe shaped incision was
outlined in the temporoparietal region' above the ear and extending
anterior and posterior to this. The head was prepped and draped
in the usual manner.
The incision was made along the previously mentioned horseshoe
shaped curvilinear line.
The scalp flap was reflected and the temporalis muscle was incised
and the temporalis muscle was reflected from the calvarium. Raney
clips were used on the margins and the scalp flap and muscle were
wrapped with the moist laparotomy sponge and ~sutured to it and
then held backwards.
A single bur hole was placed in the temporal area. The dura was
separated. The Stryker craniotome was used to cut the bone flap.
The bone flap was elevated and the drill holes were made about the
margins of the craniotomy and the dura was tacked up to these holes
with 4-0 braided nylon.
continued, next column.
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This pic taken several weeks after surgery. I'm pissed that no one
took pix when I had loads of tubes sticking in me or when my head
was all stapled up. The staples would have been a great CD cover
for my industrial band. I kept the staples & made a morocca
with them; it sounds great!. You can hear it on the new Auditorium
album.
continued
from bottom of left column:
The dura was opened and hinged inferiorly. The
temporal lobe and the inferior parietal lobule were thus exposed.
The gyri of the temporal lobe were edematous and stretched. In the
mid portion of the second temporal gyrus, this was opened and the
hematoma was removed. The hematoma extended anteriorly and posteriorly
and this was all removed as it was in the sylvian f issure and the
substance of the temporal lobe.
The hematoma was entirely removed and there was bleeding initially
from the cortical surface. This was coagulated. Beneath that, on
the brain on the lateral aspect of the clot but on the temporal
lobe, there was residual of apparent arteriovenous malformation.
This small tangle of blood vessels was coagulated and removed and
there was no further bleeding.
The area was lavaged and the blood pressure was elevated at 245
mmHg and no bleeding ensued. The area was further lavaged and the
temporal lobe was now quite relaxed and pulled away from the calvarium.
The dura was then closed with .O nylon. The bone flap was then secured
in place with QuickFlap straps.
The temporalis muscle was resutured using O-Vicryl and the galea
was closed using 3-0 Vicryl and the scalp was closed with staples…
(I kept these staples after they were removed and made a maraca
out of them… Tee hee… Eric.) Dressings were applied
and the patient was returned to the Post anesthesia recovery room.
Here's a fun tangent:
One of my favorite bands, The Flaming Lips, has a song called "Guy
Who Got A Headache & Accidentally Saves The World"
Check it out for fun,
Then look
at my new site & see if they were perhaps being prophetic
=->
I'm a bit financially screwed by this, so if you can help out with
a donation, well, that will help me continue to donate my talents
toward what I think
could lead to a better future for all.
Thanks... home page.
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