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Editorial review
Treatment

Multiple Burr Holes

Editorially reviewedEditorial review Updated 1 min read1 reference
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In brief: Multiple burr holes are small openings placed across the skull to encourage vascularized scalp and dural tissues to form collateral connections with the brain.

The technique can target broad or selected territories and may be used alone, as an addition to another indirect procedure, or in areas not covered by a direct bypass. Collateral development is delayed and variable.

Multiple burr holes are one of several indirect strategies recognized in moyamoya surgical practice. [1]

Number, location, dural opening, and tissue handling differ by center. The phrase does not describe a single standardized operation.

Postoperative imaging determines where collateral growth occurred.