A craniotomy for tumor resection is a surgical procedure used to remove a brain tumor. The goal is to safely remove as much of the tumor as possible while preserving normal brain function.
Quick Facts:
- Used for both benign and malignant brain tumors
- Performed through a craniotomy (opening the skull)
- Often improves symptoms and helps guide further treatment
- Tailored to tumor type, size, and location
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WHAT IS A CRANIOTOMY FOR TUMOR RESECTION?
A craniotomy for tumor resection is a procedure in which a section of the skull is temporarily removed to access and remove a brain tumor.
The goals of surgery may include:
- Removing the tumor
- Relieving pressure on the brain
- Improving neurologic symptoms
- Obtaining tissue for diagnosis
The extent of removal depends on:
- Tumor type
- Location
- Relationship to critical brain structures
WHY IS THIS PROCEDURE PERFORMED?
Surgery is often the first step in treating many brain tumors.
Common Reasons for Surgery
- Symptomatic tumor (headache, weakness, seizures)
- Tumor causing pressure or swelling
- Need for diagnosis (biopsy or resection)
- Tumor growth on imaging
- Part of a broader treatment plan (with radiation or chemotherapy)
👉 The goal is maximal safe removal of the tumor
WHO IS A CANDIDATE?
Patients may be candidates if:
- The tumor is accessible for surgery
- Symptoms are present or worsening
- Diagnosis is unclear without tissue
- Surgery is expected to improve outcome
Decision-making includes:
- Tumor type and location
- Patient age and overall health
- Risks to critical functions (speech, movement, vision)
HOW THE PROCEDURE IS PERFORMED
Step-by-Step Overview
- Anesthesia
- Performed under general anesthesia
- Awake craniotomy may be used in select cases
- Craniotomy
- A portion of the skull is temporarily removed
- Microsurgical Tumor Removal
- Tumor is removed using precision techniques
- Navigation and imaging guidance may be used
- Protection of Brain Function
- Critical brain areas are carefully preserved
- In some cases, real-time mapping is performed
- Closure
- The skull is replaced and secured
OUR APPROACH
We focus on maximal safe resection with preservation of neurologic function.
- Every tumor is different—treatment is individualized
- Not all tumors require aggressive removal
- We use modern microsurgical techniques and intraoperative guidance
- When appropriate, we coordinate care with oncology and radiation specialists
👉 The goal is to remove tumor safely while maintaining quality of life
WHAT TO EXPECT
Before Surgery
- MRI and imaging review
- Discussion of surgical plan and alternatives
- Preoperative planning
Day of Surgery
- Procedure length varies depending on tumor complexity
- Performed under general anesthesia (or awake in select cases)
Hospital Stay
- Typically several days
- Neurologic monitoring and imaging
Recovery
- Gradual return to activity over weeks
- Some symptoms improve quickly; others take time
- Follow-up imaging and ongoing care
OUTCOMES & SUCCESS RATES
Outcomes depend on:
- Tumor type (benign vs malignant)
- Location and size
- Extent of safe removal
Potential Benefits
- Relief of pressure and symptoms
- Improved neurologic function
- More accurate diagnosis
- Better response to additional treatments
RISKS & COMPLICATIONS
As with any brain surgery, risks include:
- Neurologic deficits (speech, movement, vision)
- Bleeding
- Infection
- Seizures
- Brain swelling
- Need for additional treatment
👉 These risks are carefully balanced against the benefits of tumor removal
FREQUENTLY ASKED QUESTIONS
Will the entire tumor be removed?
The goal is maximal safe removal. In some cases, small portions are left to protect important brain areas.
Will I need additional treatment?
Some tumors require radiation or chemotherapy after surgery.
How long is recovery?
Recovery typically takes several weeks, depending on the procedure and tumor.
Is awake surgery necessary?
Awake craniotomy is used in select cases when tumors are near critical brain areas.
FOR REFERRING PHYSICIANS (Optional Expandable Section)
- Refer patients with:
- Brain mass on imaging
- Progressive neurologic symptoms
- Seizures with suspected tumor
- Imaging:
- MRI brain with and without contrast
- Consider referral for:
- Surgical evaluation
- Tissue diagnosis
- Multidisciplinary treatment planning
- Urgent referral for:
- Mass effect with neurologic deficit
- Rapidly worsening symptoms
RELATED CONDITIONS / PROCEDURES
- Brain Tumors
- Glioblastoma
- Meningioma
- Brain Metastases
- Stereotactic Biopsy
CALL TO ACTION
👉 Request an Appointment
👉 Refer a Patient