Advertisement

The Posterolateral Approach to the Foramen Magnum

  • A. Perneczky

Abstract

The region of the foramen magnum creates a number of diagnostic problems since processes located in this region are easily misjudged for a considerable variety of atypical symptoms (Symonds and Meadows 1937; Rubenstein 1938). Mostly, the morphologic diagnosis provides the expected clarification only when a process of the foramen magnum has been localized by the clinical examination (Margolis 1976). Surgery performed at the occipitocervical junction is a challenging task both from an anatomic and a functional point of view (Drake 1973). The present paper discusses the posterolateral approach to the foramen magnum.

Keywords

Vertebral Artery Basilar Artery Pituitary Stalk Left Vertebral Artery Posterolateral Approach 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Dodge HW Jr, Love JG, Gottlieb CM (1956) Benign tumors of the foramen magnum. Surgical considerations. J Neurosurg 13: 603–617PubMedCrossRefGoogle Scholar
  2. Drake CG (1969) The surgical treatment of vertebral-basilar aneurysms. Clin Neurosurg 16: 114–169PubMedGoogle Scholar
  3. Drake CG (1973) Management of aneurysms of posterior circulation. In: Youmans JR (ed) Neurological Surgery, vol 2. Saunders, Philadelphia, pp 787–806Google Scholar
  4. Fox JL (1967) Obliteration of midline vertebral artery aneurysm via basilar craniectomy. J Neurosurg 26: 406–412PubMedCrossRefGoogle Scholar
  5. Fox JL (1983) Intracranial Aneurysms. Springer, Berlin Heidelberg New York Tokyo, pp 786–791CrossRefGoogle Scholar
  6. Koos WTH, Spetzler RF, Pendl G, Perneczky A, Lang J (1985) Color atlas ofmicroneurosurgery. Thieme, Stuttgart New York, pp 118, 125–134Google Scholar
  7. Lang J, Wachsmuth W (1979) Praktische Anatomie. Springer, Berlin Heidelberg New York, vol 1/B, S 309–430Google Scholar
  8. Margolis MI (1976) A simple myelographic maneuver for the detection of mass lesions at the foramen magnum. Radiology 119: 482–485PubMedGoogle Scholar
  9. Mullan S, Naunton R, Hekmatpanah J (1966) The use of an anterior approach to ventrally located tumors in the foramen magnum and vertebral column. J Neurosurg 24: 536–543PubMedCrossRefGoogle Scholar
  10. Rubenstein JE (1938) Astereognosis associated with tumors in the region of the foramen magnum. Arch Neurol Psychiatr 39: 1016–1032Google Scholar
  11. Sarro K (1973) Aneurysms of the vertebral and basilar arteries. Neurol Surg (Tokyo) 1: 193–199Google Scholar
  12. Sano K, limbo M, Saito I (1966) Vertebra-basilar aneurysms with special reference to the transpharyngeal transclival approach to the basilar artery aneurysm. Brain Nerve (Tokyo) 18: 1197–1203Google Scholar
  13. Stevenson GC, Stoney RJ, Perkins R-K (1966) A transcervical transclival approach to the ventral surface of the brain stem for removal of a clivus chordoma. J Neurosurg 24: 544–551PubMedCrossRefGoogle Scholar
  14. Symonds CP, Meadows SP (1937) Compression of the spinal cord in the neighborhood of the foramen magnum. Brain 60: 52–84CrossRefGoogle Scholar
  15. Yasuoka S, Okazaki H, Daube J (1978) Foramen magnum tumors: analysis of 57 cases of benign extramedullary tumors. J Neurosurg 49: 828–838PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • A. Perneczky
    • 1
  1. 1.ViennaAustria

Personalised recommendations