The Posterolateral Approach to the Foramen Magnum
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.
KeywordsVertebral Artery Basilar Artery Pituitary Stalk Left Vertebral Artery Posterolateral Approach
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- Drake CG (1973) Management of aneurysms of posterior circulation. In: Youmans JR (ed) Neurological Surgery, vol 2. Saunders, Philadelphia, pp 787–806Google Scholar
- Koos WTH, Spetzler RF, Pendl G, Perneczky A, Lang J (1985) Color atlas ofmicroneurosurgery. Thieme, Stuttgart New York, pp 118, 125–134Google Scholar
- Lang J, Wachsmuth W (1979) Praktische Anatomie. Springer, Berlin Heidelberg New York, vol 1/B, S 309–430Google Scholar
- Rubenstein JE (1938) Astereognosis associated with tumors in the region of the foramen magnum. Arch Neurol Psychiatr 39: 1016–1032Google Scholar
- Sarro K (1973) Aneurysms of the vertebral and basilar arteries. Neurol Surg (Tokyo) 1: 193–199Google Scholar
- 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