Editorial Pain after craniotomy – really a problem?

TL;DRAbstract

Recently there has been an interesting discussion about craniotomy pain Post-craniotomy pain is an issue of neurosurgery that is seen often (up to 38% in our series The origin of postoperative pain is not yet fully understood, but is -without doubt -multifactorial. Often, such complaints are misleadingly related to depressive and anxiety symptoms, but rather different surgical-related factors may play a causative role. The acknowledgement of this implies a modification of the operative techniques For example, in the retrosigmoidal approach for surgery on vestibular schwannomas, dural adhesions to muscles or to subcutaneous tissues and dural tension after dural closure with stitches may explain postoperative headache In addition, excessive intradural drilling and the use of fibrin glue is the source of aseptic meningitis as the aetiology of persistent postoperative headache in these patient series In order to reduce postoperative headache, we suggest replacement of the bone flap at the

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