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Skull Base Surgery

Skull base surgery uses specialized techniques that give Conemaugh Physician Group - Neurosurgery physicians access to deep-seated, difficult-to-reach lesions in the brain with minimal disruption or manipulation of the organ. As a result, tumors, aneurysms, hemorrhages, and other conditions that can be difficult to treat and are at times considered inoperable can be treated with greater precision and safety. 

Skull based surgery is typically performed to help treat:

  • Tumors in and around the head and neck
  • Vascular lesions, such as aneurysms or arterial venous malformation (AVM)
  • Birth-related conditions, such as head or facial malformations
  • Trauma-related conditions, such as skull base fractures or spinal injuries

Interventional neuroradiologic procedures, such as transarterial embolization to decrease tumor vascularity, and carotid balloon test occlusion are also performed. 


Image-Guided Tools

  • High-resolution computed axial tomography (CAT)
  • Magnetic resonance imaging (MRI) scans
  • Magnetic resonance spectroscopy (MRS)
  • Intraoperative angiography
  • Micro-Doppler
  • Microscopic surgical aspiration systems
  • Intraoperative electrophysiological monitoring
  • Spinal instrumentation

The multidisciplinary surgical team includes neurosurgeons, neuroradiologists, anesthesiologists, radiation oncologists, plastic and reconstructive surgeons,  physical medicine specialists, and rehabilitation specialists. Prior to surgery, the team will conduct an extensive pre-operative evaluation that includes a complete medical history, physical and neurological examinations, and comprehensive radiographic studies.