Roberto Leal da Silveira, Daniela de Oliveira Von Zuben, Raphael Bertani, Jose Alberto Landeiro
{"title":"Foramen magnum meningioma approached by the midline subtonsilar approach - Revisiting Cushing's classification of craniospinal meningiomas.","authors":"Roberto Leal da Silveira, Daniela de Oliveira Von Zuben, Raphael Bertani, Jose Alberto Landeiro","doi":"10.25259/SNI_939_2022","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Case description: </strong>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.</p><p><strong>Conclusion: </strong>This operative video highlights a safe and effective surgical technique for the resection of an anterior foramen magnum meningioma.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"56"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/ac/SNI-14-56.PMC9990808.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Neurology International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/SNI_939_2022","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
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.