title: Osteoplastic lateral suboccipital approach for acoustic neuroma surgery.
abstract: OBJECTIVE
  Persistent headache remains a significant problem in a small group of patients after acoustic neuroma surgery via the lateral suboccipital approach. We describe a modified technique of osteoplastic lateral suboccipital craniotomy for surgery of the cerebellopontine angle. This simple and elegant technique provides a superior cosmetic result and a significant reduction in patients' symptoms.
  
  
  METHODS
  We report on our series of 75 patients who underwent surgery for acoustic neuroma. The maximal follow-up period was 4 years.
  
  
  RESULTS
  No patients reported headache postoperatively. Cerebrospinal fluid fistulae were not observed.
  
  
  CONCLUSIONS
  This modified approach minimizes cerebellar retraction, and the neural and vascular structures can be preserved under direct visualization of the tumor. This lateral suboccipital approach is a useful modification of previous approaches in acoustic neuroma surgery. It provides successful tumor resection and excellent functional results.
authors.affiliation: Department of Neurosurgery, University of Lübeck, Germany. sepehrni@medinf.mu-luebeck.de
authors.forename: A
authors.initials: A
authors.lastname: Sepehrnia
authors.forename: U
authors.initials: U
authors.lastname: Knopp
mesh_terms: D002530:Cerebellopontine Angle; D003399:Craniotomy / Q000379:methods*; D006801:Humans; D009464:Neuroma, Acoustic / Q000601:surgery*; D019635:Neurosurgical Procedures; D009777:Occipital Bone / Q000601:surgery; D011184:Postoperative Period; D012886:Skull / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed