Made traphezoid bone flap pattern.

After preparations had been made for the management of

massive hemorrhage from the cerebral arteries, the anterior and posterior edges of the residual
bone were carefully drilled, and the knife was removed with one bite of surrounding bone to
prevent any unnecessary movement of the knife. Finally, the knife insertion point was identified
as the right hemisphere. We found a small amount of subdura hematoma and massive bleeding
from parenchym could be stopped by cautery bipolar. The dural defect was not closed. The
bone flap was not restored because of the risk of infection. Postoperatively, he recovered
quickly with no neurological deficit.