Sunday, December 27, 2009

Burr Hole points for Shunt

1. Keen's Point : Parietal Burr hole - 3 cm above and 3 cm behind the external auditory meatus.

Direction of canula - Perpendicular to the cortex and slightly cephalic

Length of insertion about 4 to 5 cm. 

2. Kocher's Point : Frontal Burr hole - 2 to 3 cm lateral to mid line and 1 cm anterior to coronal suture in  the mid pupilaary line.

Direction of canula - Coronal plane towards ipsilaterl inner canthus and AP plane towards EAM. 

Length of insertion about 5 to 6 cm. 

3. Dandy's point : Occipital burrhole - 2 cm lateral to the midline and 3 cm above the inoin. In infants this usually corresponds with the lambdoid suture in the mid pupillary line. 

Direction of canula - Perpendicular to the cortex and slightly cephalic. 

Length of insertion about 4 to 5 cm. 

4. Frazier's point : 3 to 4 cm lateral to the midline and 6 cm above the inion.

Direction of canula - Perpendicular to the cortex. 

Length of insertion about 4 to 5 cm. 

3 comments:

Limbu CP said...

Keen's point is 3cm above and 3cm posterior to pinna of ear not auditory meatus....

Unknown said...

Great post, thanks! I referred to it at the new forum of Surgical Neurology International.

Pieter Kubben, MD
DigitalNeurosurgeon.com

Substantia 3D Neuroanatomy Atlas said...

Wrong info sahib.