Fig. 1

A full body synthetic manikin to practice patient positioning and three-point rigid fixation using the Mayfield skull clamp (A). A glass display head with encompassing silicone-moulded brain for simulating flap designs (B). Skin incision prior to burr hole execution for placement of external ventricular drain (EVD) on a locally developed synthetic simulation model (C). Successful placement and subsequent drainage of cerebrospinal fluid (CSF) from the lateral ventricle (D)