American Society of Hirudotherapy

Modified method of multiple cranial burr holes for treatment of total scalp avulsion

Case report published in Neurol India (2020)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportClinical TrialsPatil H et al. · Neurology India, 2020

Abstract

Scalp avulsion is a rare but severe injury. It usually happens while using industrial or agriculture machinery. Scalp avulsion results from hair entrapment in a rotating machine. There are various options for treatment of scalp avulsion. Herein, the authors present a case of total scalp avulsion which was treated by multiple trephination technique using neurosurgical burr.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeCase ReportsJournal Article
Indexed MeSH termsHairHumansMicrosurgeryReplantationScalpTrephining

Summary

Total scalp avulsion treated by modified multiple-cranial-burr-holes trephination technique as alternative when microsurgical replantation is not feasible.

Why This Matters for Hirudotherapy

This case report presents a single patient with total scalp avulsion that was treated using a multiple trephination technique involving a neurosurgical burr. The abstract focuses entirely on detailing this surgical technique as an option for managing severe scalp avulsion injuries resulting from hair entrapment in machinery. It makes no mention of leech therapy, hirudotherapy, or venous congestion. Consequently, the article has no direct relevance to ASH's domain beyond the broad context of reconstructive surgery, and no leeches were involved in the management of the condition described.

Citation

Modified method of multiple cranial burr holes for treatment of total scalp avulsion.

Patil H et al. · Neurology India, 2020

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

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