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Trephining refers to the drilling of holes into the skull for the purpose of reducing intracranial pressure. It is performed in the operating room under sterile conditions.
People in ancient times also performed this procedure. The patient sat on a log while the priest chipped a hole in the skull using a common sharp stone.
It was thought that trephining could relieve headaches and release the devils of madness
adopted from The human body in health and illness, Herlihy & Maebius