Surgical management of posterior fossa mass lesions.
METHODS
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.


METHODS
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.
Bullock
M Ross
MR
Department of Neurological Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA.
Chesnut
Randall
R
Ghajar
Jamshid
J
Gordon
David
D
Hartl
Roger
R
Newell
David W
DW
Servadei
Franco
F
Walters
Beverly C
BC
Wilberger
Jack
J
D001921:Brain / Q000473:pathology / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D019468:Disease Management; D006801:Humans; D012886:Skull / Q000473:pathology / Q000601:surgery*