eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2018-08-19 6 7 143 145 10.12691/ajmcr-6-7-6 AJMCR2018676 article Sharad Samson Rajmani 1 Neeraj Salhotra neersal@hotmail.com 1 Dr Samit Biniwale 1 Levingston Chelladurai 1 Bashar Al Tunbi 1 Fahad Abaas Al Kheder 1 Department of Neurosurgery Khoula Hospital Muscat Oman PO box 90, Postal Code 116 Micro vascular decompression is performed as a common procedure in neurosurgical field for trigeminal neuralgia, hemi facial spasm, tinnitus etc. Regular craniotomy or craniectomy amounts to significant concerns in length of incision, size of craniotomy, postoperative stay in hospital, complications encountered and outcome. Keyhole craniotomy is an answer to all these concerns [1]. We present here our short series of key hole craniotomies done for micro vascular decompression for various indications and confirming the favorable outcome. http://pubs.sciepub.com/ajmcr/6/7/6/ajmcr-6-7-6.pdf key hole craniotomy micro vascular decompression