Skull base surgery is done at the base of the skull and at the top of the first few vertebrae on the spinal cord. It is a procedure done to eliminate cancerous or benign growth and brain abnormalities present in the underside of the brain.
Skull base surgery is usually an endoscopic skull base surgery rather than an open surgery that is done at the base of the skull and at the top of the first few vertebrae on the spinal cord. It is a procedure done to eliminate cancerous or benign growth and brain abnormalities present in the underside of the brain. Based on the symptoms, the type of growth and its location, your surgeon will advise the best type of surgery.
A neurosurgeon will recommend a skull base surgery procedure for the patients suffering from the following medical disease:
Patients with some kind of abnormality in the base of the skull may also experience the following symptoms:
As the skull base cannot be scanned with the naked eye; your doctor will recommend several medical tests and exams in the prognosis of cranial base surgery. Normally, your doctor will recommend you the following tests before planning your surgery:
As skull base surgery is an extensive surgery, the patient is given general anesthesia for about 24 hours. For additional comfort, the patient is also kept on a heating blanket that is positioned over an alternating pressure air mattress. When the main blood vessel, the petrous carotid is dissected, the patient’s blood pressure is purposely kept abnormally low. In the past, many patients experienced bleeding during surgery and thus, doctors today start fresh frozen plasma and platelet infusions once the patient has gone through 4 units of blood. This has become a standard procedure in modern times and has proved to prevent the potentially fatal intracranial bleeding during and post the surgery.
After a skull cancer spine surgery, the patient is moved to the ICU and continuously monitored by their doctor and nurses. At this stage, the patient’s respiratory parameters need to be adequate and the patient should be able to maintain his blood oxygen saturation while being incubated and spontaneously breathing. Normally, patients can go home after 7 to 10 days, once all their reports are fine. However, complete recovery after this kind of surgery might take a few months and therefore, patients must take good care of them and avoid heavy activities.
Whether it is an open skull surgery or an endoscopic procedure, skull base surgery is a highly complicated procedure and thus, brings a large amount of risks and complications for the patient. Your doctor will explain all the possible risks of the surgery beforehand so that you can take a well-informed decision. Some common known risks include:
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