Key Aspects in Foramen Magnum Meningiomas: From Old Neuroanatomical Conceptions to Current Far Lateral Neurosurgical Intervention.

Abstract:

:Foramen magnum meningiomas represent a challenge for neurosurgeons. These tumors require careful surgical manipulation as they are often located in proximity to critical neurovascular structures and the cranial nerves. The far lateral approach is considered the safest neurosurgical approach for excising foramen magnum lesions. It facilitates the access to the anterior foramen magnum and reduces the retraction of vital structures. We describe key historical, epidemiological, genetic, epigenetic, clinical, and neurosurgical aspects of foramen magnum meningiomas. We emphasize the far lateral approach for lesions arising in the foramen magnum, as well as the most appropriate patient positioning for such approach. Caring for these aspects will be rewarded with the best perioperative neurosurgical outcomes.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Leon-Ariza DS,Campero A,Romero Chaparro RJ,Prada DG,Vargas Grau G,Rhoton AL Jr

doi

10.1016/j.wneu.2017.07.029

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

477-483

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(17)31129-4

journal_volume

106

pub_type

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