Skull base mapping

Area of Science:

• Neurosurgery
• Radiology
• Skull Base Surgery

Background:

• Medium to large temporal region tumors present unique surgical challenges.
• Accurate preoperative assessment is crucial for successful tumor resection.

Observation:

• Radiologic preoperative plotting in sagittal, coronal, and horizontal planes is valuable for space-occupying lesions.
• Standardized mapping of the skull base and cervical spine aids in lesion visualization.

Findings:

• Preoperative plotting enhances understanding of tumor location, pathology, and involvement of neurovascular structures.
• This technique facilitates assessment of tumor resectability by considering the patient's medical status.

Implications:

• Improved surgical planning and communication among specialists for skull base tumors.
• Standardized charting provides a common reference for tumor size and facilitates interdisciplinary collaboration.
• Highlights the often occult presentation of skull base tumors, underscoring the need for thorough radiologic evaluation.