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Related Experiment Video

Updated: Oct 2, 2025

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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Postcraniotomy Headache: Etiologies and Treatments.

Corina Bello1, Lukas Andereggen1,2, Markus M Luedi3

  • 1Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University, Hospital, University of Bern, Freiburgstrasse, 3010, Bern, Switzerland.

Current Pain and Headache Reports
|March 1, 2022
PubMed
Summary

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Postcraniotomy headache (PCH) is a common issue after brain surgery. Minimizing opioid use and early identification of at-risk patients are key for managing acute and chronic PCH.

Area of Science:

  • Neurosurgery
  • Pain Management
  • Anesthesiology

Background:

  • Postcraniotomy headache (PCH) is a frequent complication following neurosurgical procedures.
  • Effective pain management is crucial for patient recovery and neurological assessment.

Purpose of the Study:

  • To provide an updated review of the latest evidence for managing acute and chronic PCH.
  • To emphasize the importance of pain control within enhanced recovery after surgery protocols.

Main Methods:

  • Literature review of recent evidence on PCH management.
  • Analysis of the role of analgesic medication, particularly opioids, in PCH treatment.

Main Results:

  • Opioid analgesia can complicate neurological evaluations in the acute recovery phase.
Keywords:
Acute painChronic painEnhanced recovery after surgeryNeurosurgeryPostcraniotomy headache

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  • Minimizing opioid use is generally recommended for both acute and chronic PCH.
  • Proactive identification and treatment of patients at risk for chronic PCH are essential.

    • Conclusions:

    • Enhanced recovery after surgery protocols in neurosurgery must prioritize PCH management.
    • Early intervention for at-risk patients can improve outcomes for acute and chronic PCH.