What are skull base diseases?

What are skull base diseases?

Content Summary

Kafatası tabanı hastalıkları, beyinin kafatasında oturduğu kafatası tabanını içeren tümörlerden konjenital hastalıklara kadar birçok farklı hastalığı kapsar ve cerrahi tedavi gerektirir. En yaygın kafatası tabanı bozuklukları tümör patolojileridir (kanserler ve diğer tümörler, metastazlar vb.), ancak beyin tümörlerine ek olarak, serebrovasküler baloncuklar (anevrizmalar), serebrovasküler dolaşıklıklar (arteriyovenöz malformasyonlar), konjenital ve edinsel kafa deformiteleri ve gelişimsel bozukluklar, travmatik hastalıklar (darbeler, çarpmalar, trafik kazaları vb. nedeniyle) ve enfeksiyonlardan kaynaklanan kitle hastalıkları gibi diğer hastalıkları da içerir. Tedavi, doğru tanı koyma, hastalığın etkilerini belirleme, doğal seyri değerlendirme ve olası tedavileri belirleme ile başlar. Nörocerrahi açıdan, genellikle beyin sıkışması, serebral damarlar ve kranial sinirlere etkisi, işlev bozukluğu ve olası riskler nedeniyle cerrahi müdahale yapılır. Cerrahi, burun veya ağız yoluyla kafatasındaki doğal açıklıklardan müdahale ederek veya kaşın hemen üstüne küçük bir delik açarak gerçekleştirilen minimal invaziv endoskopik bir prosedür yoluyla yapılabilir. Bu cerrahi, KBB cerrahları, nörocerrahlar ve radyologları içeren ekip çalışması gerektirir. İyileşme süresi hastanın durumuna bağlıdır, ancak genellikle cerrahi tedavi gören hastalar 10 gün hastanede kalır. Ancak bu süre farklı yöntemlerle yapılan tedavilerde uzatılabilir.

Skull base diseases include many different diseases, from tumors to congenital diseases, which involve the skull base where the brain sits in the skull and require surgical treatment.

How are skull base diseases treated?

The most common formsof skull base disorders are tumoral pathologies (cancers and other tumors, metastases, ...). However, in addition to brain tumors, other diseases involving the skull base include vascular diseases of the brain such as cerebrovascular bubbles (= aneurysms), cerebrovascular tangles (= arteriovenous malformations), congenital and acquired head deformities and developmental disorders, traumatic diseases (caused by blows, bumps, traffic accidents, etc.) and mass diseases due to infections.

How does the treatment process of skull base diseases progress?

In skull base diseases, as in other diseases, it is important to first make a correct and detailed diagnosis, determine the effects of the disease, evaluate the natural course and specify possible treatments. In terms of neurosurgery, surgical intervention is usually performed due to the compression of the brain, the effect on cerebral vessels and cranial nerves, dysfunction and possible risks.

The skull base is a crowded and complex area containing different openings through which many blood vessels and nerves of the spinal cord pass. Skull base surgery can be performed to remove benign/cancerous growths or abnormalities in the lower part of the brain, the base of the skull or the uppermost vertebrae in the spine. Since it is very difficult to see and reach this area in skull base disease surgery, it can be performed through a minimally invasive endoscopic procedure by intervening through natural openings in the skull through the nose or mouth or by making a small hole just above the eyebrow. This type of surgery requires teamwork involving ENT (ear, nose and throat) surgeons, neurosurgeons and radiologists.

What is the recovery period for skull base diseases?

The treatmentof skull base diseases is usually surgical. In such cases, the patient's recovery time varies according to the patient's condition. Normally, when skull base diseases are treated surgically, the patient has a 10-day period in the hospital. However, this period may be prolonged in treatments with different methods.

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CreatorNP Istanbul Hospital Editorial Board
Updated At16 January 2025
Created At21 January 2021
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