Abstract:
:The authors review their experience with a dorsolateral approach to the anterior rim of the foramen magnum and adjacent region. The operative technique includes exposure of the vertebral artery at C1, partial resection of the occipital condyle and lateral atlantal mass, and extradural drilling of the jugular tubercle. This approach has been applied in six patients who harbored intradural space-occupying lesions located ventral to the lower brain stem. Excision of the neoplasm was virtually total in all but one patient, in whom biopsy was the primary goal of the intervention. No morbidity and no mortality were associated with this approach. The main advantage of the dorsolateral, suboccipital, transcondylar route is the direct view it offers to the anterior rim of the foramen magnum without requiring brain stem retraction.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Bertalanffy H,Seeger Wdoi
10.1097/00006123-199112000-00002subject
Has Abstractpub_date
1991-12-01 00:00:00pages
815-21issue
6eissn
0148-396Xissn
1524-4040journal_volume
29pub_type
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