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 LiteraturePatil 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

This report describes a patient whose entire scalp was avulsed after hair became caught in a rotating machine and who was managed with a modified multiple-burr-hole trephination approach, illustrating one of several available surgical options for this rare but serious injury.

Context

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. The article is situated within the broad context of reconstructive surgery, and no leeches were involved in the management of the condition described.

Citation

Reference (Vancouver style)

Patil H, Rathore S, Garg N. Modified method of multiple cranial burr holes for treatment of total scalp avulsion. Neurol India. 2020;68(6):1459-1461. doi:10.4103/0028-3886.304076. PMID: 33342892

Bibliographic details (authors, volume, pages, DOI) are taken from the PubMed record.

DOIPubMed

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

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.