Our surgical experience in foramen magnum meningiomas: clinical series of 11 cases
Autor: | Gökhan Çavuş, Semih Kivanc Olguner, Ali İhsan Ökten, Ali Arslan, Yurdal Gezercan, Emre Bilgin, Vedat Acik, Ismail Istemen |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male suboccipital medicine.medical_specialty medicine.medical_treatment 030231 tropical medicine Condyle Foramen Magnum Meningioma Meningioma 03 medical and health sciences Postoperative Complications 0302 clinical medicine Meningeal Neoplasms medicine Humans Foramen Magnum 030212 general & internal medicine Craniotomy Aged Retrospective Studies Foramen magnum business.industry Research craniotomy General Medicine Middle Aged Laminoplasty Spinal cord medicine.disease Dysphagia Surgery medicine.anatomical_structure Female C1 laminoplastY medicine.symptom meningioma business Follow-Up Studies |
Zdroj: | Pan African Medical Journal; Vol. 34 No. 1 (2019) The Pan African Medical Journal |
ISSN: | 1937-8688 |
Popis: | Introduction:we aimed to discuss surgical approaches and results that we applied foramen magnum meningiomas. Methods:we retrospectively investigated 11 foramen magnum meningioma cases, who had been operated between the dates of February 2012 and March 2017. Results:eight of the patients were females and 3 of the patients were males, the age range was 32-75 and the age average was 60.8. 5 of the tumors were anatomically localized as posterolateral, 2 of them were localized as anterolateral, 2 of them were localized as lateral and 2 of them were localized as anterior according to the brain stem or spinal cord. Posterior far lateral (4 patients) approach including C1 laminoplasty (7 patients) and 1/3 condyle resection was surgically applied to the patients with median suboccipital craniotomy. Gross total excision was applied to 82% of the patients (9 patients) and subtotal mass excision was applied to 18% (2 patients) of the patients. The most frequent post-operative complications were temporary lower cranial nerve (CN IX and X ) palsy in our 2 anterior localized cases (18%) and also cerebrospinal fluid (CSF) fistula in our 1 anterior localized case with difficulty in swallowing (dysphagia). Karnofsky scores of the patients, who were followed for 18 months in post-operative 12 and 48 months of average, in the last follow-up were 80 and no post-operative mortality occurred. Conclusion:posterior midline suboccipital and far lateral approaches that we apply in our own series were appropriate approaches for foramen magnum meningiomas. |
Databáze: | OpenAIRE |
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