Trepanation of the Skull According to Wagner-Wolf

**Craniotomy** is an operation that is used in the treatment of certain brain diseases. It involves creating an opening in the skull and removing part of the bone or tissue to achieve a therapeutic effect. Craniotomy can be performed using both direct (through an incision) and indirect (using miniature instruments that are inserted through the patient's nostrils or ears) methods.

One of the most common methods of craniotomy is the Wagner-Wolf method, which was proposed in 1841. This method involves creating a hole smaller in diameter than the diameter of the skull to facilitate penetration of instruments into the skull. This is done by making holes on the front and back of the skull, which are then connected by a metal bridge. After this, thin instruments are inserted into the bone and the necessary parts of the bone or tissue inside the skull are removed.

**Why may trephination using the Wagner-Wolf method be necessary?** * Headaches and frequent migraine attacks. With this method of trepanation, the space expands and the position of the skull relative to its base changes, which can reduce the pressure inside the meninges, reduce the area of ​​vascular expansion and reduce pain. * Hydrocephalus - accumulation of cerebrospinal fluid in the brain or spinal cord * Vascular dysplasia - a genetically determined pathology when tissues and organs are underdeveloped * Brain neoplasms * Thyrotoxicosis - pathology of the thyroid gland caused by taking thyroid hormones in large doses * Meningitis - inflammation of the lining of the brain

Although trephination can be a dangerous operation, it can also provide benefits to the patient. Sometimes it can identify a serious brain disease and also save a life or improve the patient’s quality of life. Therefore, the decision to perform trepanation is complex and is made by the doctor after a series of examinations and consultations with the patient.