Showing posts with label Burr hole points. Show all posts
Showing posts with label Burr hole points. Show all posts

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.