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Journal of Craniovertebral Junction and Spine
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Year : 2018  |  Volume : 9  |  Issue : 3  |  Page : 175-181

Lateral suboccipital retrosigmoid retrocondylar approach for foramen magnum meningiomas

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
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Source of Support: None, Conflict of Interest: None

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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