Complete resection of pure anterior foramen magnum meningioma without neurovascular injuries poses a big challenge: Case report.
Anterior FMM
Conservative transcondylar approach
Foramen magnum meningioma (FMM)
Journal
Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
04
02
2021
revised:
24
03
2021
accepted:
24
03
2021
entrez:
19
4
2021
pubmed:
20
4
2021
medline:
20
4
2021
Statut:
epublish
Résumé
Meningiomas are common neoplasms representing 14.3-19% of all intracranial tumors. Among all the meningiomas, only 1.8-3.2% arises at the foramen magnum (FM) level.Most of the lesions (68%-98%) arising anterolaterally, followed by postolateral, purely posterior and, more rarely, purely anterior. We report a case of A 42-year-old female presented with a history of neck pain with progressive spastic hemiparesis. MRI revealed well-defied pure anterior and on both sides of vertebral artery, foramen magnum lesion. Through conservative transcondylar approach, Lesion was removed totally in a piecemeal fashion. Histopathology revealed meningothelial meningioma. The patient had a dramatic recovery. The exposure allowed by the far-lateral retrocondylar or partial transcondylar approach is adequate for resecting even anterior intradural FMMs.Reports about Foramen magnum meningioma aren't common, but reports on pure anterior foramen magnum meningioma are very rare. The prerequisite for treating FM meningiomas (FMMs) is the perfect knowledge of the surgical anatomy. The opportunity to give the patient a symptom-free and normal life should not be missed in such cases.
Identifiants
pubmed: 33868685
doi: 10.1016/j.amsu.2021.102265
pii: S2049-0801(21)00215-6
pmc: PMC8040125
doi:
Types de publication
Case Reports
Langues
eng
Pagination
102265Informations de copyright
© 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
Déclaration de conflit d'intérêts
All authors declared no conflict of interest.
Références
Spine (Phila Pa 1976). 2012 May 1;37(10):E617-23
pubmed: 22146282
Int J Surg. 2018 Dec;60:132-136
pubmed: 30342279
J Neurosurg. 1984 Jul;61(1):136-42
pubmed: 6726388
Neurosurg Rev. 2012 Jul;35(3):359-67; discussion 367-8
pubmed: 22430127
J Neurosurg. 1994 Jul;81(1):49-59
pubmed: 8207527
Neurosurg Focus. 2003 Jun 15;14(6):e10
pubmed: 15669785
Neurosurg Focus. 2013 Dec;35(6):E12
pubmed: 24289120
J Neurosurg. 1986 Apr;64(4):559-62
pubmed: 3950739
Asian J Neurosurg. 2018 Jul-Sep;13(3):651-655
pubmed: 30283520
Neurochirurgie. 1993;39 Suppl 1:1-89
pubmed: 7902956
Neurosurgery. 1991 Dec;29(6):815-21
pubmed: 1758590
J Neurosurg. 2000 Jan;92(1 Suppl):71-80
pubmed: 10616061
Int J Surg. 2020 Dec;84:226-230
pubmed: 33181358
Skull Base Surg. 1995;5(1):9-19
pubmed: 17171152
Neurosurgery. 1990 Aug;27(2):197-204
pubmed: 2385336
Clin Neurol Neurosurg. 1994 Nov;96(4):284-9
pubmed: 7889688