Foramen magnum meningioma approached by the midline subtonsilar approach - Revisiting Cushing's classification of craniospinal meningiomas.
| Autor: | da Silveira RL; Department of Neurosurgery, Madre Teresa Hospital, Belo Horizonte, São Paulo, Brazil., Von Zuben DO; Department of Vascular and Skull Base, University of Sao Paulo, São Paulo, Brazil., Bertani R; Department of Vascular and Skull Base, University of Sao Paulo, São Paulo, Brazil., Landeiro JA; Department of Neurosurgery, Federal Fluminense University, Niteroi, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Surgical neurology international [Surg Neurol Int] 2023 Feb 17; Vol. 14, pp. 56. Date of Electronic Publication: 2023 Feb 17 (Print Publication: 2023). |
| DOI: | 10.25259/SNI_939_2022 |
| Abstrakt: | Background: The management of foramen magnum meningiomas (FMMs) has been a challenge for skull base neurosurgeons. Since the initial description of a FMM in 1872, various surgical approaches have been described. Posterior and posterolateral FMMs are safely removed through a standard midline suboccipital approach. Nevertheless, we still face controversy regarding the management of anterior or anterolateral lesions. Case Description: A 47-year-old patient presented with progressive headaches, unsteadiness, and tremor. Magnetic resonance imaging showed an FMM that caused significant displacement of the brainstem. Conclusion: This operative video highlights a safe and effective surgical technique for the resection of an anterior foramen magnum meningioma. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Surgical Neurology International.) |
| Databáze: | MEDLINE |
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