Craniotomy for Brain Tumor & Posterior Fossa Surgery
A craniotomy is the temporary removal of a window of skull to reach the brain, after which the bone is replaced and secured. It is the foundation of most brain tumor surgery and of posterior fossa decompression for Chiari malformation. Modern craniotomy is far removed from its reputation: precise navigation, small openings, and enhanced recovery protocols mean most patients are up and walking the next morning.
Who it is for
- Brain tumors requiring removal or biopsy
- Chiari malformation with symptoms or syrinx
- Cavernous malformations
- Intradural spinal tumors (using the same microsurgical techniques)
Why we use it
- Definitive treatment and tissue diagnosis
- Immediate relief of pressure
- Enhanced recovery protocol with early mobilization
How the procedure is done
- Navigation registration and positioning.
- A hair-sparing incision and small bone flap.
- The dura is opened and the lesion treated under magnification.
- The dura is closed watertight, bone replaced with titanium plates, and layers closed.
Recovery
Overnight monitoring; home in 1–3 days. Incision care, activity and medication guidance are in the post-operative packet.
Risks, stated plainly
Bleeding, infection, seizure, stroke, neurological deficit, spinal fluid leak. Dr. Daggubati reviews the specific risks for your situation in person before any decision is made.
Preparing for this surgery
Dr. Daggubati has written detailed guides for this procedure covering medications to stop, prehabilitation, the day of surgery, and a week-by-week recovery timeline.