Surgical management of posterior fossa mass lesions.

M. Ross Bullock, Randall Chesnut, Jamshid Ghajar, David Gordon, Roger Hartl, David W. Newell, Franco Servadei, Beverly C. Walters, Jack Wilberger

Research output: Contribution to journalReview article

22 Scopus citations

Abstract

INDICATIONS: Patients with mass effect on computed tomographic (CT) scan or with neurological dysfunction or deterioration referable to the lesion should undergo operative intervention. Mass effect on CT scan is defined as distortion, dislocation, or obliteration of the fourth ventricle; compression or loss of visualization of the basal cisterns, or the presence of obstructive hydrocephalus. Patients with lesions and no significant mass effect on CT scan and without signs of neurological dysfunction may be managed by close observation and serial imaging. TIMING: In patients with indications for surgical intervention, evacuation should be performed as soon as possible because these patients can deteriorate rapidly, thus, worsening their prognosis. METHODS: Suboccipital craniectomy is the predominant method reported for evacuation of posterior fossa mass lesions, and is therefore recommended.

Original languageEnglish (US)
Pages (from-to)S47-55; discussion Si-iv
JournalNeurosurgery
Volume58
Issue number3 Suppl
StatePublished - Mar 2006

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Bullock, M. R., Chesnut, R., Ghajar, J., Gordon, D., Hartl, R., Newell, D. W., Servadei, F., Walters, B. C., & Wilberger, J. (2006). Surgical management of posterior fossa mass lesions. Neurosurgery, 58(3 Suppl), S47-55; discussion Si-iv.