Performing a rare microscopic surgical procedure for a tumor in the skull.

A rare surgical operation was performed, considered number 21 in the world, for a 36-year-old patient who complained of a mass on his scalp that grew rapidly over three months to reach a diameter of about 7 cm and caused severe headache.

MRI images showed that the mass originated in the skull bone and extended to the dura mater, causing brain compression.

The patient has been prepared with laboratory and radiological tests and several units of blood have been prepared because this tumor is bleeding heavily and this bleeding could lead to death during the operation.

The tumor was completely removed with a safe distance from the skull bone, and the affected part of the dura mater was removed and the pressure was lifted from the brain, and then the dura mater was grafted and a grafting and cosmetic operation was performed on the skull bone where the tumor was removed, and the patient did not need to receive any blood, using the technique of controlling the arteries leading to the tumor and closing them before the tumor was removed.

Laboratory tissue examination of the excised tumor (Angiosarcoma), which is recorded in the international publications, showed only 20 cases of skull injury and our case is 21.

Therefore, it was accepted as an important scientific paper at the European Congress of Neurosurgeons (EANS).

The patient did not experience any complications and left the hospital within 48 hours after the surgery.

Dr. Salah Al-Bishawi, Neurosurgeon Consultant.