Multidisciplinary treatment for skull base disease
The Skull Base Center at Baylor University Medical Center, part of Baylor Scott & White Health, is one of the few places in Texas that offers comprehensive treatment for the large variety of often complex conditions and tumors in and around the various compartments of the skull base.
Priorities of the Skull Base Center:
- Cure or control of the disease
- Minimally invasive treatment
- Preservation of function
- Quality of life
A commitment to minimally invasive skull base surgery has allowed the creation of surgical techniques that help achieve the goals of preserving function and maximizing the quality of life for patients.
Skull base conditions
- Acoustic neurinoma/schwannoma
- Brainstem tumors
- Cerebellopontine angle tumors
- Chondrosarcoma
- Chordoma
- Craniopharyngioma
- Dermoid and epidermoid tumors
- Facial nerve neurinoma/Schwannoma
- Fibrous dysplasia
- Glomus jugulare tumor
- Lower cranial nerve tumors
- Pineal tumors
- Pituitary tumors
- Trigeminal nerve neurinoma/Schwannoma
Vascular cerebral aneurysm
- Arterial venous malformation (AVM)
- Cavernous malformation
Occipital cervical junction
- Basilar invagination
- C1-C2 subluxation (rheumatoid arthritis)
- Chiari malformation
- Foramen magnum tumors
Orbital Lesions
- Exophthalmos
- Fibrous dysplasia
- Hemangioblastoma
- Meningioma
- Schwannoma
Head and neck
Temporal bone
Causes of skull base conditions
Lesions and tumors in the skull base can be located in several areas:
- Extracranial
- Intracranial
- Orbital
Types of lesions located in the skull base may include:
- Benign or malignant tumors
- Congenital disorders (chiari malformation, basilar invagination)
- Pain syndromes (trigeminal neuralgia)
- Rheumatological disorders (rheumatoid arthritis C1-C2 subluxation)
- Vascular processes (aneurysm, arterial venous malformation, cavernous malformation)
Skull base disease treatment options
Treatment recommendations are made after careful analysis of radiological data; location and type of lesion; and evaluation of each patient’s unique health profile, needs and expectation. The treatment may include one or more of the following modalities:
Comprehensive services through the Skull Base Center
Numerous departments and services at Baylor University Medical Center support the Skull Base Center, allowing comprehensive evaluation and care in the diagnosis and treatment of skull base disease:
Skull base services
- Endocrinology
- Head and neck oncology
- Medical oncology
- Neurological rehabilitation (physiatry)
- Neurology
- Neuroradiology
- Neurosurgery
- Otolaryngology (head and neck surgery)
- Pathology
- Radiation oncology
- Speech (swallowing therapy)
Skull base programs
- Acoustic neurinoma program
- Chiari malformation program
- Chordoma/Chondrosarcoma program
- CSF leak program
- Endonasal endoscopic surgery program
- Exophthalmos program
- Glomus/Paraganglioma program
- Head and neck tumor program
- Meningioma program
- Occipital cervical program (rheumatoid arthritis)
- Orbital tumor program
- Pituitary tumor program
- Trigeminal neuralgia program
Medical leadership
Amol Bhatki, MD
Co-Medical Director
Baylor Neuroscience Center's Skull Base Center
Caetano Coimbra, MD
Baylor Neuroscience Center's Skull Base Center