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Microsurgical Management of Ventral and Ventrolateral Foramen Magnum Meningiomas

  • Conference paper

Part of the book series: Acta Neurochirurgica ((NEUROCHIRURGICA,volume 65))

Summary

The authors report their experiences gained from 19 patients with ventral or ventrolateral foramen magnum meningiomas operated on via the dorsolateral, suboccipital transcondylar access route. It is emphasized that the microsurgical management of these lesions includes two important aspects which increase the safety of the procedure: a meticulous preoperative planning based on the micro-anatomical details of each patient, as well as an individualized tailoring of the surgical approach. There were no deaths, and, in the past 5 years, no neurological complications in this series. Gross total removal of the tumour was achieved in each case. It is concluded that microsurgical removal of ventral or ventrolateral foramen magnum meningiomas with this technique constitutes a safe and recommendable procedure.

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References

  1. Al-Mefty O (1989) Surgery of the cranial base. Kluwer, Boston, pp 239–258

    Google Scholar 

  2. Babu RP, Sekhar LN, Wright DC (1994) Extreme lateral transcondylar approach: technical improvements and lessons learned. J Neurosurg 81: 49–59

    Article  PubMed  CAS  Google Scholar 

  3. Baldwin HZ, Miller CG, van Loveren HR, Keller JT, Daspit CP, Spetzler RF (1994) The far lateral/combined supra-and infratentorial approach. J Neurosurg 81: 60–68

    Article  PubMed  CAS  Google Scholar 

  4. Bertalanffy H, Seeger W (1991) The dorsolateral, suboccipital, transcondylar approach to the lower clivus and anterior portion of the craniocervical junction. Neurosurgery 29: 815–821

    Article  PubMed  CAS  Google Scholar 

  5. Bertalanffy H, Kawase T, Seeger W, Toya S (1992) Micro-surgical anatomy of the transcondylar approach to the lower clivus and anterior craniocervical junction. In: Surgical anatomy for microsurgery V. Sci Med Publications, Tokyo, pp 167–175

    Google Scholar 

  6. Bertalanffy H, Gilsbach J, Seeger W, Toya S (1994) Surgical anatomy and clinical application of the transcondylar approach to the lower clivus. In: Samii M (ed) Skull base surgery. First Int Skull Base Congr, Hannover 1992, Karger, Basel, pp 1045–1048

    Google Scholar 

  7. Bertalanffy H, Gilsbach JM, Mayfrank L, Kawase T, Shiobara R, Toya 5 (1995) Planning and surgical strategies for early management of vertebral artery and vertebrobasilar junction aneurysms. Acta Neurochir (Wien) 134: 60–65

    CAS  Google Scholar 

  8. De Oliveira E, Rhoton AL Jr, Peace D (1985) Microsurgical anatomy of the region of the foramen magnum Surg Neurol 24: 293–352

    Google Scholar 

  9. George B, Dematons C, Cophignon J (1988) Lateral approach to the anterior portion of the foramen magnum. Surg Neurol 29: 484–490

    Article  PubMed  CAS  Google Scholar 

  10. George B, Lot G, Velut S, Gelbert F, Mournier KL (1993) Pathologie tumorale du foramen magnum. Neurochirurgie 39 [Suppl 1]

    Google Scholar 

  11. Gilsbach JM, Eggert HR, Seeger W (1987) The dorsolateral approach in ventrolateral craniospinal lesions. In: Voth D, Glees P (eds) Diseases in the craniocervical junction. de Gruyter, Berlin, pp 359–364

    Google Scholar 

  12. Hakuba A, Tsujimoto T (1993) Transcondyle approach for foramen magnum meningiomas. In: Sekhar LN, Janecka IP (eds) Surgery of cranial base tumors. Raven, New York, pp 671–678

    Google Scholar 

  13. Klein HM, Bertalanffy H, Mayfrank L, Thron A, Günther RW, Gilsbach JM (1994) Three-dimensional spiral CT for neurosurgical planning. Neuroradiology 36: 435–439

    Article  PubMed  CAS  Google Scholar 

  14. Koos WT, Spetzler RF, Pendl G, Perneczky A, Lang J (1985) Color atlas of microneurosurgery. Thieme, Stuttgart, pp 125–128

    Google Scholar 

  15. Lang J (1981) Klinische Anatomie des Kopfes. Springer, Berlin Heidelberg New York

    Google Scholar 

  16. Perneczky A (1986) The posterolateral approach to the foramen magnum. In: Samii M (ed) Surgery in and around the brain stem and the third ventricle. Springer, Berlin Heidelberg New York Tokyo, pp 460–466

    Chapter  Google Scholar 

  17. Samii M, Knosp E (1992) Approaches to the clivus. Springer, Berlin Heidelberg New York Tokyo, pp 117–163

    Book  Google Scholar 

  18. Sen CN, Sekhar LN (1990) An extreme lateral approach to intradural lesions of the cervical spine and foramen magnum. Neurosurgery 27: 197–204

    Article  PubMed  Google Scholar 

  19. Sen CN, Sekhar LN (1991) Surgical management of anterior placed lesions at the craniocervical junction–an alternative approach. Acta Neurochir (Wien) 108: 70–77

    Article  CAS  Google Scholar 

  20. Spetzler RF, Grahm TW (1990) The far-lateral approach to the inferior clivus and the upper cervical region: technical note. Barrow Neurol Ins Q 6 (4): 35–38

    Google Scholar 

  21. Vallée B, Besson G, Houidi K, Person H, Dam Hieu PH, Rodriguez V, Périot Ph, Sénécail B (1993) L’extension latérale juxta-ou transcondylienne de la voie sousoccipitale postérieure. Étude anatomique, intérêt chirurgical. Neurochirurgie 39: 348–359

    PubMed  Google Scholar 

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© 1996 Springer-Verlag

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Bertalanffy, H., Gilsbach, J.M., Mayfrank, L., Klein, H.M., Kawase, T., Seeger, W. (1996). Microsurgical Management of Ventral and Ventrolateral Foramen Magnum Meningiomas. In: Fahlbusch, R., Bock, W.J., Brock, M., Buchfelder, M., Klinger, M. (eds) Modern Neurosurgery of Meningiomas and Pituitary Adenomas. Acta Neurochirurgica, vol 65. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9450-8_23

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  • DOI: https://doi.org/10.1007/978-3-7091-9450-8_23

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-9452-2

  • Online ISBN: 978-3-7091-9450-8

  • eBook Packages: Springer Book Archive

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