| Autor: |
Emre Bilgin, Gökhan Çavus, Vedat Açik, Ali Arslan, Semih Kivanç Olguner, Ismail Istemen, Yurdal Gezercan, Ali Ihsan Ökten |
| Jazyk: |
English<br />French |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
The Pan African Medical Journal, Vol 34, Iss 5 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
1937-8688 |
| DOI: |
10.11604/pamj.2019.34.5.17536 |
| 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: |
Directory of Open Access Journals |
| Externí odkaz: |
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