Davos Courses

Executive Editor: Daniel Buchbinder General Editor: Daniel Buchbinder

Authors: S Fusetti, B Hammer, R Kellman, C Matula, EB Strong, Co-author: A Di Ieva

Skull base & Cranial vault - Skull base, posterior

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Glossary

General considerations

The posterior fossa is formed by the occipital bones. It is limited anteriorly by the posterior walls of the petrous bones and posteriorly by the grooves of the transverse sinuses.

Observation
Main indication Skill Equipment
Non- or minimally displaced fractures. Basic surgical experience, no specialized skills Basic equipment only

Further indications

  • No evidence of an intracranial mass lesion (bleeding), CSF leak (CSF rhinorrhea), or increase in intracranial pressure
  • Stable neurological status (high Glasgow coma scale GSC)
Treatment modalities
Main indication Skill Equipment
Depressed fractures with a significant intracranial injury. Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Further indications

  • Intracranial mass lesions (epidural hematoma, subdural hematoma or intracerebellar hemorrhage)
  • Sinus involvement
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2011-05-14