The value of intraoperative ultrasound in neurosurgery

Intraoperative ultrasound is not a technique which has been widely accepted by neurosurgeons in this country, not least because bulky probes and machines become more of a hindrance than an asset in theatre. The development of new smaller probes, including ones small enough to visualize the brain through a conventional burr-hole has rekindled interest in this subject. Its use for guidance in tumour biopsy, cyst aspiration and catheter placement, as well as volume estimations and determining the completeness of tumour resection, are outlined. The ability to recognize peri-operative haemorrhage is demonstrated.