Skull Base Surgery

Before surgery, the neurosurgeon performs a comprehensive evaluation to determine the safest surgical approach. The evaluation may include: Neurological examination, MRI or CT scan of the brain, CT angiography or cerebral angiography (if required), Blood tests, ECG and anaesthesia fitness assessment. Patients are generally advised to: Follow fasting instructions before surgery, Inform the doctor about medications and allergies, Stop blood-thinning medicines if advised, Arrange support during recovery.

On the day of surgery, the patient receives general anaesthesia. Depending on the condition, the surgeon performs the procedure using an endoscopic endonasal approach through the nasal passages or an open craniotomy to access the skull base. The tumor, cyst, or abnormal tissue is carefully removed or repaired while protecting nearby nerves, blood vessels, and healthy brain tissue. After ensuring complete treatment and adequate bleeding control, the surgical site is closed. The procedure usually takes 3–8 hours, depending on the complexity of the condition.

After surgery, the patient is monitored in the ICU or neurosurgical ward. Neurological observation, pain management, and rehabilitation are important parts of recovery. Patients are advised to: Take prescribed medications, Keep the surgical wound clean and dry, Avoid strenuous activities, Attend regular follow-up visits and imaging studies, Follow rehabilitation instructions if required. Seek immediate medical attention if you experience severe headache, fever, wound discharge, persistent nasal fluid leakage, seizures, vision changes, or increasing weakness.