Far Lateral Transcondylar Approach for Anterior Foramen Magnum Lesions
| العنوان: | Far Lateral Transcondylar Approach for Anterior Foramen Magnum Lesions |
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| المؤلفون: | Waqas Mehdi, Shahzaib Tasdique, Muhammad Irfan, Samra Majeed, Azam Niaz |
| المصدر: | Pakistan Journal Of Neurological Surgery. 24:149-155 |
| بيانات النشر: | Pakistan Society of Neurosurgeons, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | musculoskeletal diseases, medicine.medical_specialty, Foramen magnum, business.industry, Transcondylar approach, medicine.disease, Lesion, Meningioma, Cerebrospinal fluid, medicine.anatomical_structure, Anterior Foramen Magnum, Medicine, Brainstem, Radiology, Chordoma, medicine.symptom, business |
| الوصف: | Objective: To study the efficacy and safety of far-lateral transcondylar approach for anterior foramen magnum lesions with early experience at our Institute. Material and Methods: We treated six patients, with lesion anterior to the foramen magnum and posterior to the brainstem and cervical cord in a period of 2 years, March 2017 to March 2018.Initial assessment was made by history and examination followed by CT scan and contrast MRI. All were treated using far-lateral transcondylar approach. Result: Among six patients, there were two were male and four were female. Three of these patients had a meningioma while two patients had neurofibromas and one clival chordoma. Total excision was achieved in five neoplastic cases, while subtotal excision was done in one case. There were no fresh postoperative deficits in any of the other patients. One patient had an unexplained sudden cardiorespiratory arrest 18h after the surgery and succumbed. One patient had cerebrospinal fluid (CSF) discharge from the wound, which was satisfactorily managed by lumber CSF drainage. Conclusion: This approach provides an excellent approach to lesions located anterior to foramen magnum posterior to the brainstem and upper cervical cord. Gross total excision of these benign and malignant lesions is safely possible through this approach. Keywords: Craniovertebral Junction, Far-Lateral Transcondylar Approach, Anterior Foramen Magnum, Brain Stem, Chordoma. |
| تدمد: | 2409-5567 1995-8811 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::59ac73e085364f6a6087b12ae80ec872Test https://doi.org/10.36552/pjns.v24i2.454Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi...........59ac73e085364f6a6087b12ae80ec872 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 24095567 19958811 |
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