Surgical treatment of ventral foramen magnum meningiomas

Silva, Danilo Otávio de Araújo; Costa, Laura Olinda Bregieiro Fernandes; Kitamura, Matheus Augusto Pinto; Júnior, Divaldo de Arruda Câmara; Silva, Joacil Carlos da; Filho, Hildo Rocha Cirne de Azevedo

doi:10.1590/s0004-282x2009000600031

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…Recently, a controversial discussion has been raised concerning the utility of systematic condyle drilling for approaching FMM. [234568111314151617181920212223242526272829303233343536]…”

Section: Introductionmentioning

confidence: 99%

Foramen magnum meningiomas: To drill or not to drill the occipital condyle? A series of 12 patients

Lynch

Temponi²,

Emmerich³

et al. 2013

Surg Neurol Int

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Background:Despite the development of microsurgery and cranial base techniques, the surgical management of Foramen Magnum Meningiomas (FMM) continues to be a technical challenge to neurosurgeons. Controversy concerning the utility of systematic condyle drilling for approaching FMM has been raised. Our aim was to describe the surgical technique, analyze its safety, and the postoperative outcome in 12 consecutive FMM patients.Methods:From 1986 to 2011, 12 patients with FMM underwent operations in the Department of Neurosurgery at Servidores do Estado Hospital and in a private clinic. All patients were operated using a standard suboccipital craniectomy, preserving the occipital condyle, opening of the Foramen Magnum, and ipsilateral removal of the posterior arch of C1.Results:There was no operative mortality, nine patients achieved Glasgow Outcome Scale 4 or 5. Condylar resection was not deemed necessary in any case. Gross total resection was achieved in nine patients. After surgery, four patients developed lower cranial nerve weakness. There was no significant postoperative complication in the remaining patients. The average follow-up is 8.2 years.ConclusionThe vast majority of FMM can be safely removed with a retrocondylar lateral suboccipital approach without condylar resection, using meticulous microsurgical techniques.

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“…Recently, a controversial discussion has been raised concerning the utility of systematic condyle drilling for approaching FMM. [234568111314151617181920212223242526272829303233343536]…”

Section: Introductionmentioning

confidence: 99%

Foramen magnum meningiomas: To drill or not to drill the occipital condyle? A series of 12 patients

Lynch

Temponi²,

Emmerich³

et al. 2013

Surg Neurol Int

View full text Add to dashboard Cite

show abstract

“…Transcondylar approaches provide a significant greater area of exposure than the retrosigmoid approach. [ 4 5 ] Extent of removal of occipital condyle can be individualized according to the case. In some of the FMMs, removal of condyle might not be necessary.…”

mentioning

confidence: 99%