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A neat circular perimortem trepanation is located in the left frontal squama 11.7 mm medial to the curved fracture line, 5.2 mm from the coronal suture, and 12.8 mm from the metopic suture.
The most frequently reported side effects are erythema, burning sensation, squama, and pruritus (2).
Longitudinally incise the temporal muscle and retract it to both sides to expose the temporal bone squama. Drill a hole posterosuperior to the zygomatic arch base, and create a bone window about 2.0–2.5 cm in diameter with the milling cutter.
[13] retrospectively analyzed 38 patients with brain herniation into AG and found 68 brain herniations into AG, by order of frequency, in the occipital squama, transverse sinus, lateral lacuna of the superior sagittal sinus, and straight sinus, with cerebellar tissue being the most frequently found in the herniation.
Thickening of the squama of the frontal bone was evident as well as hyper-pneumatization of the left frontal sinus (Figures IB and 1C).