Surgical management of posterior fossa mass lesions.

Publication Type	Review
Authors	Bullock M, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell D, Servadei F, Walters B, Wilberger J
Journal	Neurosurgery
Volume	58
Issue	3 Suppl
Pagination	S47-55; discussion Si-iv
Date Published	03/01/2006
ISSN	1524-4040
Keywords	Brain, Craniotomy, Skull
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.
DOI	10.1227/01.NEU.0000210366.36914.38
PubMed ID	16540745