Pain in patients undergoing posterior fossa surgery is regarded as more intense when compared
to pain in patients undergoing supratentorial cranial surgeries. It may result in a rise in
blood pressure and heart rate leading to serious effects as increased intracranial pressure
and intracranial hemorrhage. For a long time, the control of pain has been the role of
opioids. However, the use of opioids is not devoid of side effects. Hence, combining other
techniques as partial scalp block with general anesthesia may be beneficial in controlling
hemodynamics and decreasing the amount of opioids used without sacrificing the good quality
of analgesia and anesthesia.