Articles Available Online

If you’re reading this page, chances are you’ve recently heard that you need to have a craniotomy Try not to worry Although, yes, this is brain surgery, you’re more likely to die from the underlying condition itself, such as a malignant tumour or subdural hematoma Think of it this way: insomuch as being alive is safe, which it is not, having a craniotomy is safe We fill our days with doing laundry, replacing our brake pads at the auto shop, or making a teeth-cleaning appointment with the dentist, in the expectation that everything will be fine But it won’t There will be a day that kills you or someone you love Such a perspective is actually quite comforting Taken in that light, a craniotomy can be a relaxing experience, rather than one of abject terror   WHAT HAPPENS DURING A CRANIOTOMY?   Nearly all operations begin with the creation of a bone flap so the doctor has an opening into your brain This opening will be sealed shut at the end with wire or titanium plates and screws Beneath the bone are the three meninges, connective membranes also known as the mothers: the dura mater (hard mother), arachnoid mater (spidery mother), and pia mater (soft mother) After we’re past that triple embrace — like the Moirai crones of myth that spin, measure, and cut the thread of life — we’re at the precious substance of thought The blush of living brain has been described as resembling the inside of a conch shell or a crumbling marble quarry To me, it’s like the revelation of brine and meat after shucking an oyster Beyond that, what happens during a craniotomy depends on the type of surgery A translabyrinthine craniotomy, for example, involves cutting away the whole of the mastoid bone and some of the tunnels of your inner ear   IS IT TRUE I WILL HAVE TO BE AWAKE DURING MY CRANIOTOMY?   Some craniotomies require you to be conscious When a tumour makes itself comfortable with a good book and a blanket in front of the fire of your eloquent cortex, which controls language or motor functions, we give you prompts indistinguishable from online banking security questions Certain surgeons fancy themselves as early explorers, sketching out crude cartographies of the thunderous Badlands, the twists of the Amazon, the jagged coasts of Jutland brainscapes I