Approaches to anterior and anterolateral foramen magnum lesions: A critical review
Foramen magnum (FM) lesions represent some of the most complex cases for the modern neurosurgeon because of their location near vital brainstem structures, the vertebral arteries, and lower cranial nerves. In particular, anterior or anterolaterally located FM tumors have traditionally been most diff...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2010;volume=1;issue=2;spage=86;epage=99;aulast=Komotar |
| _version_ | 1811284548099506176 |
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| author | Ricardo J Komotar Brad E Zacharia Robert A McGovern Michael B Sisti Jeffrey N Bruce Anthony L D′Ambrosio |
| author_facet | Ricardo J Komotar Brad E Zacharia Robert A McGovern Michael B Sisti Jeffrey N Bruce Anthony L D′Ambrosio |
| author_sort | Ricardo J Komotar |
| collection | DOAJ |
| description | Foramen magnum (FM) lesions represent some of the most complex cases for the modern neurosurgeon because of their location near vital brainstem structures, the vertebral arteries, and lower cranial nerves. In particular, anterior or anterolaterally located FM tumors have traditionally been most difficult to resect with high morbidity and mortality resulting from approaches through the posterior midline or transorally. For many neurosurgeons, the far lateral, extreme lateral approach, and more recently, endoscopic endonasal approaches have become the preferred modern methods for the resection of anterior or anterolateral FM tumors. In this review, we examine both operative and non-operative approaches to FM tumors, including surgical anatomy, surgical technique, and indications for operative intervention in these complex cases. In addition, we compared outcomes from prior series. |
| first_indexed | 2024-04-13T02:31:21Z |
| format | Article |
| id | doaj.art-912e2a28805847acbcd8915e4c565e97 |
| institution | Directory Open Access Journal |
| issn | 0974-8237 |
| language | English |
| last_indexed | 2024-04-13T02:31:21Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj.art-912e2a28805847acbcd8915e4c565e972022-12-22T03:06:34ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372010-01-0112869910.4103/0974-8237.77672Approaches to anterior and anterolateral foramen magnum lesions: A critical reviewRicardo J KomotarBrad E ZachariaRobert A McGovernMichael B SistiJeffrey N BruceAnthony L D′AmbrosioForamen magnum (FM) lesions represent some of the most complex cases for the modern neurosurgeon because of their location near vital brainstem structures, the vertebral arteries, and lower cranial nerves. In particular, anterior or anterolaterally located FM tumors have traditionally been most difficult to resect with high morbidity and mortality resulting from approaches through the posterior midline or transorally. For many neurosurgeons, the far lateral, extreme lateral approach, and more recently, endoscopic endonasal approaches have become the preferred modern methods for the resection of anterior or anterolateral FM tumors. In this review, we examine both operative and non-operative approaches to FM tumors, including surgical anatomy, surgical technique, and indications for operative intervention in these complex cases. In addition, we compared outcomes from prior series.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2010;volume=1;issue=2;spage=86;epage=99;aulast=KomotarForamen magnummeningiomaextreme lateral approach: Cerebrospinal fluidcomputed tomographyforamen magnumkarnofsky performance scalemagnetic resonance angiogrammagnetic resonance imagingstereotactic radiosurgeryvertebral artery |
| spellingShingle | Ricardo J Komotar Brad E Zacharia Robert A McGovern Michael B Sisti Jeffrey N Bruce Anthony L D′Ambrosio Approaches to anterior and anterolateral foramen magnum lesions: A critical review Journal of Craniovertebral Junction and Spine Foramen magnum meningioma extreme lateral approach: Cerebrospinal fluid computed tomography foramen magnum karnofsky performance scale magnetic resonance angiogram magnetic resonance imaging stereotactic radiosurgery vertebral artery |
| title | Approaches to anterior and anterolateral foramen magnum lesions: A critical review |
| title_full | Approaches to anterior and anterolateral foramen magnum lesions: A critical review |
| title_fullStr | Approaches to anterior and anterolateral foramen magnum lesions: A critical review |
| title_full_unstemmed | Approaches to anterior and anterolateral foramen magnum lesions: A critical review |
| title_short | Approaches to anterior and anterolateral foramen magnum lesions: A critical review |
| title_sort | approaches to anterior and anterolateral foramen magnum lesions a critical review |
| topic | Foramen magnum meningioma extreme lateral approach: Cerebrospinal fluid computed tomography foramen magnum karnofsky performance scale magnetic resonance angiogram magnetic resonance imaging stereotactic radiosurgery vertebral artery |
| url | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2010;volume=1;issue=2;spage=86;epage=99;aulast=Komotar |
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