Jeremy Kam, Mendel Castle-Kirszbaum, Celine Hounjet, Hannah Schoenroth, Benjamin Brakel, Serge Makarenko, Peter Gooderham, Ryojo Akagami
Foramen magnum meningiomas are challenging lesions owing to their proximity to the lower brainstem, vertebrobasilar system, and lower cranial nerves.1,2 Tumor size, origin, morphology, relationship to neurovascular structures, and bony anatomy determine the optimal surgical approach.2,3 Classically, far lateral approaches have been the workhorse approach to the foramen magnum. Variations of the far lateral including transcondylar and extended transcondylar (paracondylar), with or without transposition of the vertebral artery, are sometimes used for a more lateral approach to the brainstem and clivus...
March 18, 2024: Operative Neurosurgery (Hagerstown, Md.)