The dorsolateral, suboccipital, transcondylar approach to the lower clivus and anterior portion of the craniocervical junction.

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

Neurosurgery

journal_title

Neurosurgery

authors

Bertalanffy H,Seeger W

doi

10.1097/00006123-199112000-00002

subject

Has Abstract

pub_date

1991-12-01 00:00:00

pages

815-21

issue

6

eissn

0148-396X

issn

1524-4040

journal_volume

29

pub_type

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