Tailored Surgical Approaches for Foramem Magnum Tumors
Abstract Objective To describe our surgical techniques, analyze their safety and their postoperative outcomes for foramen magnum tumors (FMTs). Methods From 1986 to 2014, 34 patients with FMTs underwent surgeries using either the lateral suboccipital approach, standard midl...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2020-06-01
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| Series: | Brazilian Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1695015 |
| _version_ | 1818623655381303296 |
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| author | Jose Carlos Lynch Celestino Esteves Pereira Leonardo C. Weling Mariangela Gonçalves |
| author_facet | Jose Carlos Lynch Celestino Esteves Pereira Leonardo C. Weling Mariangela Gonçalves |
| author_sort | Jose Carlos Lynch |
| collection | DOAJ |
| description | Abstract
Objective To describe our surgical techniques, analyze their safety and their postoperative outcomes for foramen magnum tumors (FMTs).
Methods From 1986 to 2014, 34 patients with FMTs underwent surgeries using either the lateral suboccipital approach, standard midline suboccipital craniotomy, or the far lateral approach, depending on the anatomic location of the lesions.
Results In the present series, there were 22 (64.7%) female and 12 (35.2%) male patients. The age of the patients ranged from 12 to 63 years old. We observed 1 operative mortality (2.9%). A total of 28 patients (82.3%) achieved a score of 4 or 5 in the Glasgow Outcome Scale (GOS). Gross total resection (GTR) was obtained in 22 (64.7%) patients. After the surgery, 9 (26%) patients developed lower cranial nerve dysfunction (LCNd) weakness. The follow-up varied from 1 to 24 years (mean: 13.2 years).
Conclusion The majority of tumors located in the FM can be safely and efficiently removed using either the lateral sub occipital approach, standard middle line sub occipital craniotomy, or the far lateral approach, depending on the anatomic location of the lesions. |
| first_indexed | 2024-12-16T18:44:31Z |
| format | Article |
| id | doaj.art-85020580446745b7ae1b645d5e8982d8 |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-12-16T18:44:31Z |
| publishDate | 2020-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-85020580446745b7ae1b645d5e8982d82022-12-21T22:20:53ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222020-06-01390206106710.1055/s-0039-1695015Tailored Surgical Approaches for Foramem Magnum TumorsJose Carlos Lynch0Celestino Esteves Pereira1Leonardo C. Weling2Mariangela Gonçalves3Department of Neurosurgery, Centro de Neurocirurgia das Américas, Rio de Janeiro, Rio de Janeiro, BrazilDepartment of Neurosurgery, Public Servants Hospital, Rio de Janeiro, Rio de Janeiro, BrazilDepartment of Neurosurgery, University of Ponta Grossa, Paraná, PR, BrazilDepartment of Neurosurgery, Copa D'or Hospital, Rio de Janeiro, Rio de Janeiro, BrazilAbstract Objective To describe our surgical techniques, analyze their safety and their postoperative outcomes for foramen magnum tumors (FMTs). Methods From 1986 to 2014, 34 patients with FMTs underwent surgeries using either the lateral suboccipital approach, standard midline suboccipital craniotomy, or the far lateral approach, depending on the anatomic location of the lesions. Results In the present series, there were 22 (64.7%) female and 12 (35.2%) male patients. The age of the patients ranged from 12 to 63 years old. We observed 1 operative mortality (2.9%). A total of 28 patients (82.3%) achieved a score of 4 or 5 in the Glasgow Outcome Scale (GOS). Gross total resection (GTR) was obtained in 22 (64.7%) patients. After the surgery, 9 (26%) patients developed lower cranial nerve dysfunction (LCNd) weakness. The follow-up varied from 1 to 24 years (mean: 13.2 years). Conclusion The majority of tumors located in the FM can be safely and efficiently removed using either the lateral sub occipital approach, standard middle line sub occipital craniotomy, or the far lateral approach, depending on the anatomic location of the lesions.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1695015foramen magnumforamen magnum meningiomasforamen magnum tumorsmicrosurgeryretrocondylar approachsuboccipital approach |
| spellingShingle | Jose Carlos Lynch Celestino Esteves Pereira Leonardo C. Weling Mariangela Gonçalves Tailored Surgical Approaches for Foramem Magnum Tumors Brazilian Neurosurgery foramen magnum foramen magnum meningiomas foramen magnum tumors microsurgery retrocondylar approach suboccipital approach |
| title | Tailored Surgical Approaches for Foramem Magnum Tumors |
| title_full | Tailored Surgical Approaches for Foramem Magnum Tumors |
| title_fullStr | Tailored Surgical Approaches for Foramem Magnum Tumors |
| title_full_unstemmed | Tailored Surgical Approaches for Foramem Magnum Tumors |
| title_short | Tailored Surgical Approaches for Foramem Magnum Tumors |
| title_sort | tailored surgical approaches for foramem magnum tumors |
| topic | foramen magnum foramen magnum meningiomas foramen magnum tumors microsurgery retrocondylar approach suboccipital approach |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1695015 |
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