• Neurosurgery · Jun 1995

    Impact of cranioplasty on headache after acoustic neuroma removal.

    • S G Harner, C W Beatty, and M J Ebersold.
    • Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA.
    • Neurosurgery. 1995 Jun 1; 36 (6): 1097-9; discussion 1099-100.

    AbstractWe reported previously the incidence of headache after the retrosigmoid removal of an acoustic neuroma as 23% at 3 months, declining to 9% at 2 years after surgery. In an attempt to reduce the incidence and the severity of these headaches, we made one change in our surgical procedure, which was to perform a cranioplasty with methyl methacrylate. Twenty-four patients underwent the cranioplasty and were followed for at least 3 months postoperatively. These patients were matched to 24 patients who did not undergo a cranioplasty. We found a 4% incidence of headache in the cranioplasty group and a 17% incidence in the matched group. No complications were related to this change in our procedure.

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