| ORIGINAL ARTICLE |
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| Year : 2018 | Volume
: 9
| Issue : 3 | Page : 175-181 |
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Lateral suboccipital retrosigmoid retrocondylar approach for foramen magnum meningiomas
Jose Carlos Lynch1, Mariangela Barbi Gonçalves2, Celestino Esteves Pereira1, Leonardo Welling3
1 Department of Neurosurgery, Copa D'or Hospital, Rio de Janeiro, Brazil
2 Department of Neurosurgery, Public Servants Hospital, Paraná, Brazil
3 Department of Neurosurgery, University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
Correspondence Address:
Dr. Jose Carlos Lynch
Rua Jardim Botanico, 600/605, Rio De Janeiro, RJ 22461-000
Brazil
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jcvjs.JCVJS_38_18
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Objective: The objective of the study was to describe our approach and the surgical technique and analyze its safety and the outcome for foramen magnum meningiomas (FMMs).
Methods: From 1986 to 2016, 15 FMM patients were operated on using the lateral suboccipital retrocondylar approach.
Results: In this series, there were 12 (80%) female and 3 (20%) male patients. The patients ranged in age from 33 to 63 years. There was no operative dead, but two patients died during the follow-up period, which varied from 1 to 24 years (mean, 10.2 years). Twelve patients (80%) achieved Glasgow Outcome Scale 4 or 5. Gross total resection was achieved in 13 (86.6.7%) patients.
Conclusions: The majority of FMM can be safely removed using the lateral suboccipital retrocondylar approach without condylar resection, associated to meticulous microsurgical technique.
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