Foramen Magnum Meningioma: Some Anatomical and Surgical Remarks through Five Cases
| العنوان: | Foramen Magnum Meningioma: Some Anatomical and Surgical Remarks through Five Cases |
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| المؤلفون: | Keyvan Mostofi |
| المصدر: | Asian Spine Journal Asian Spine Journal, Vol 9, Iss 1, Pp 54-58 (2015) |
| بيانات النشر: | Korean Society of Spine Surgery, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | medicine.medical_specialty, Posterior cranial fossa, medicine.medical_treatment, Vertebral artery, Dura mater, Surgical approach, Neurosurgery, lcsh:Medicine, Foramen Magnum Meningioma, Meningioma, medicine.artery, medicine, Orthopedics and Sports Medicine, Craniotomy, Foramen magnum, business.industry, lcsh:R, Occipital condyle, medicine.disease, Craniocervical, Surgery, medicine.anatomical_structure, Clinical Study, business |
| الوصف: | Study Design: Foramen magnum meningioma foramen magnum meningioma (FMM) represents 2% all of meningiomas. The clinical symptomatology is usually insidious and consists of headache, neck pain and hypoesthesia in C2 dermatome. Because of their location, the management is challenging. Purpose: The purpose of this paper is to present our experience in the surgery of FMM. Overview of Literature: Since 1938, numerous series have been published but they are very heterogeneous with high variability of location and surgical approaches. Methods: During two years, we operated 5 patients with FMM. All the patients had magnetic resonance imaging (MRI) with angioMRI to study the relationship between tumour and vertebral artery (VA). In all the cases, we used prone position. Results: In one case, considering the tumour localization (posterior and pure intradural) the tumour was removed via a midline suboccipital approach with craniotomy and C1–C2 laminectomy. In all other cases, meningiomas were posterolateral (classification of George) with extradural extension in one case. In all cases, VA was surrounded by tumor. So, we opted for a modified postero-lateral approach with inverted L incision, craniotomy and C1–C2 laminectomy without resect occipital condyle. Epidural part of VA was identified and mobilized laterally. Once VA was identified we opened dura mater and began to remove the tumour. Conclusions: In this paper, we present five cases of operated FMM, describe our approaches, the reason of each approach and pro pose some surgical remarks. |
| اللغة: | English |
| تدمد: | 1976-7846 1976-1902 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b9a0e6f4732bd8137c411a63107861d8Test http://europepmc.org/articles/PMC4330219Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b9a0e6f4732bd8137c411a63107861d8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19767846 19761902 |
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