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Endoscopic skull base surgery, is usually performed at the base of the skull and at the top of the first few vertebrae on the spinal cord.
It is a treatment used to eliminate cancerous or benign growths from the underside of the brain, as well as brain abnormalities.
Your surgeon will recommend the best sort of surgery based on your symptoms, the type of growth, and its location.
Your surgeon will recommend the best sort of surgery based on your symptoms, the type of growth, and its location.
Arteriovenous malformations - the arteries and veins create an abnormal connection that tends to circumvent the capillary system
Cerebral aneurysm
If there is a Cysts in the brain from the time of birth An unexpected growth occurring as a result of some infection
Chordomas - It is a kind of bone cancer in a malignant form Pituitary Tumors Craniopharyngiomas A birth defect or disease in the skull known as Craniosynostosis
Trigeminal Neuralgia - It is a condition in the trigeminal nerve that causes chronic pain to the patient cerebral spinal fluid leakage through the skull bone.
Arteriovenous malformations - the arteries and veins create an abnormal connection that tends to circumvent the capillary system Cerebral aneurysm
If there is a Cysts in the brain from the time of birth
Patients who have a abnormalities with their base of the skull may also have the following symptoms:
Because the base of the skull cannot be scanned with the naked eye, your doctor will propose a number of medical tests and exams as part of the cranial base surgery prognosis.
Before scheduling your surgery, your doctor will likely request the following tests:
A series of brain imaging tests, including CT scans, MRIs, PET scans, and MRAs, will be used to inspect the inside of the skull and determine whether invasive or minimally invasive spine surgery is required.
A biopsy is taken to see if the area has any cancerous growths.
A physical exam will be performed to assess the patient's balance, cranial nerves for any hindered reactions, muscle activity dips, and a test for blurred vision and hearing ability.
Because skull base surgery is a lengthy procedure, the patient is given general anaesthesia for around 24 hours.
The patient is additionally kept warm by a heated blanket that is placed on top of an alternating pressure air mattress.
The patient's blood pressure is kept unnaturally low when the main blood vessel, the petrous carotid, is dissected.
Because many patients have previously had bleeding during surgery, doctors now begin fresh frozen plasma and platelet infusions after the patient has received four units of blood.
In modern times, this has become a common practise that has proven to prevent potentially fatal intracranial bleeding during and after surgery.
The neurosurgeon performs an endoscopic surgery by making a small cut in the nose through which the excess growth can be removed.
The surgeon is guided towards the growth using an endoscope, a narrow tube with a light in the front.
The teams use MRI scans to ensure that all of the growth has been correctly removed before concluding the procedure.
The doctor will make a wide incision beneath the hairline if it is an open surgery.
The surgeon will have to remove sections of the bone from the bottom of the skull in order to clearly access the growth and eliminate it appropriately.
These are then reattached post the removal of abnormal growth from the skull base.
Many doctors will offer chemotherapy and radiation to patients with cancerous growths in their craniums in addition to endoscopic and open surgical procedures.
Following a skull cancer spine surgery, the patient is sent to the intensive care unit (ICU) and closely monitored by their doctor and nurses.
The patient's respiratory parameters must be satisfactory at this point, and he must be able to maintain his blood oxygen saturation while being incubated and breathing spontaneously.
Patients can usually go home after 7 to 10 days if all of their reports are fine.
However, full recovery from this type of surgery can take several months, so patients must take care of themselves and avoid strenuous activity.
Skull base surgery, whether it's an open or endoscopic treatment, is a highly competitive surgery that comes with a lot of risk and complications for the patient.
Before the operation, your doctor will go through all of the possible risks with you so that you can make an informed decision.
The following are some well-known risks: