Foramen magnum meningioma approached by the midline subtonsilar approach – Revisiting Cushing’s classification of craniospinal meningiomas

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 suboccip...

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Autores principales: da Silveira, Roberto Leal, Von Zuben, Daniela de Oliveira, Bertani, Raphael, Landeiro, Jose Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9990808/
https://www.ncbi.nlm.nih.gov/pubmed/36895217
http://dx.doi.org/10.25259/SNI_939_2022
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author da Silveira, Roberto Leal
Von Zuben, Daniela de Oliveira
Bertani, Raphael
Landeiro, Jose Alberto
author_facet da Silveira, Roberto Leal
Von Zuben, Daniela de Oliveira
Bertani, Raphael
Landeiro, Jose Alberto
author_sort da Silveira, Roberto Leal
collection PubMed
description 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.
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spelling pubmed-99908082023-03-08 Foramen magnum meningioma approached by the midline subtonsilar approach – Revisiting Cushing’s classification of craniospinal meningiomas da Silveira, Roberto Leal Von Zuben, Daniela de Oliveira Bertani, Raphael Landeiro, Jose Alberto Surg Neurol Int Case Report 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. Scientific Scholar 2023-02-17 /pmc/articles/PMC9990808/ /pubmed/36895217 http://dx.doi.org/10.25259/SNI_939_2022 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
da Silveira, Roberto Leal
Von Zuben, Daniela de Oliveira
Bertani, Raphael
Landeiro, Jose Alberto
Foramen magnum meningioma approached by the midline subtonsilar approach – Revisiting Cushing’s classification of craniospinal meningiomas
title Foramen magnum meningioma approached by the midline subtonsilar approach – Revisiting Cushing’s classification of craniospinal meningiomas
title_full Foramen magnum meningioma approached by the midline subtonsilar approach – Revisiting Cushing’s classification of craniospinal meningiomas
title_fullStr Foramen magnum meningioma approached by the midline subtonsilar approach – Revisiting Cushing’s classification of craniospinal meningiomas
title_full_unstemmed Foramen magnum meningioma approached by the midline subtonsilar approach – Revisiting Cushing’s classification of craniospinal meningiomas
title_short Foramen magnum meningioma approached by the midline subtonsilar approach – Revisiting Cushing’s classification of craniospinal meningiomas
title_sort foramen magnum meningioma approached by the midline subtonsilar approach – revisiting cushing’s classification of craniospinal meningiomas
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9990808/
https://www.ncbi.nlm.nih.gov/pubmed/36895217
http://dx.doi.org/10.25259/SNI_939_2022
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