دورية أكاديمية
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, Vol 9, Iss 1, Pp 54-58 (2015) |
| بيانات النشر: | Korean Spine Society, 2015. |
| سنة النشر: | 2015 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | Craniocervical, Foramen magnum, Meningioma, Surgical approach, Neurosurgery, Posterior cranial fossa, Medicine |
| الوصف: | Study DesignForamen 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.PurposeThe purpose of this paper is to present our experience in the surgery of FMM.Overview of LiteratureSince 1938, numerous series have been published but they are very heterogeneous with high variability of location and surgical approaches.MethodsDuring two years, we operated 5 patients with FMM. All the patients had magnetic resonance imaging (MRI) with angio-MRI to study the relationship between tumour and vertebral artery (VA). In all the cases, we used prone position.ResultsIn 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.ConclusionsIn this paper, we present five cases of operated FMM, describe our approaches, the reason of each approach and propose some surgical remarks. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1976-1902 1976-7846 |
| العلاقة: | http://www.asianspinejournal.org/upload/pdf/asj-9-54.pdfTest; https://doaj.org/toc/1976-1902Test; https://doaj.org/toc/1976-7846Test |
| DOI: | 10.4184/asj.2015.9.1.54 |
| الوصول الحر: | https://doaj.org/article/2ebac92c5f1b4c4da5433e9520b36abfTest |
| رقم الانضمام: | edsdoj.2ebac92c5f1b4c4da5433e9520b36abf |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19761902 19767846 |
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| DOI: | 10.4184/asj.2015.9.1.54 |