How I do it: safe resection of a complex type 3 foramen magnum meningioma with dorsal displacement of the neurovascular bundle.

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  • Additional Information
    • Source:
      Publisher: Springer Country of Publication: Austria NLM ID: 0151000 Publication Model: Electronic Cited Medium: Internet ISSN: 0942-0940 (Electronic) Linking ISSN: 00016268 NLM ISO Abbreviation: Acta Neurochir (Wien) Subsets: MEDLINE
    • Publication Information:
      Original Publication: Wien, Springer.
    • Subject Terms:
      Meningioma*/surgery ; Meningioma*/pathology ; Meningioma*/diagnostic imaging ; Foramen Magnum*/surgery ; Meningeal Neoplasms*/surgery ; Meningeal Neoplasms*/pathology ; Meningeal Neoplasms*/diagnostic imaging ; Neurosurgical Procedures*/methods; Humans ; Accessory Nerve/surgery ; Vertebral Artery/surgery ; Female ; Middle Aged
    • Abstract:
      Background: We describe techniques for safe resection of a Type 3 foramen magnum meningioma with dorsal displacement of the accessory nerve rootlets and vertebral artery which limits ventral access to the tumor.
      Method: Partial sectioning of the accessory nerve rootlets may help create larger working space. Topical lidocaine placement on the rootlets of the spinal accessory nerve may mitigate trapezius muscle contraction and facilitates further progress throughout tumor resection.
      Conclusion: Creating safe working corridors between the lower cranial nerves through mobilization or partial sectioning of rootlets in the case of CN XI facilitates tumor resection through a far lateral approach.
      (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
    • References:
      de Oliveira E, Rhoton AL, Peace D (1985) Microsurgical anatomy of the region of the foramen magnum. Surg Neurol 24(3):293–352. (PMID: 10.1016/0090-3019(85)90042-44023912)
      Gattozzi DA, Erginoglu U, Khanna O, Hosokawa PW, Martinez-Perez R, Baskaya MK, Youssef AS (2024) Novel classification of foramen magnum meningiomas predicted by topographic position relative to neurovascular bundle. Acta Neurochir 166(1):199. (PMID: 10.1007/s00701-024-06091-138687348)
      Iaconetta G, Solari D, Villa A, Castaldo C, Gerardi RM, Califano G, Montagnani S, Cappabianca P (2018) The hypoglossal nerve: anatomical study of its entire course. World Neurosurg 109:e486–e492. (PMID: 10.1016/j.wneu.2017.10.00629032218)
      Johal J, Iwanaga J, Tubbs K, Loukas M, Oskouian RJ, Tubbs RS (2019) The accessory nerve: a Comprehensive Review of its anatomy, Development, variations, landmarks and clinical considerations. Anat Rec 302(4):620–629. (PMID: 10.1002/ar.23823)
      Magill S, Shahin M, Lucas C-H, Yen A, Lee D, Raleigh D, Aghi M, Theodosopoulos P, McDermott M (2019) Surgical outcomes, complications, and management strategies for Foramen Magnum meningiomas. J Neurol Surg B 80(01):001–009. (PMID: 10.1055/s-0038-1654702)
    • Contributed Indexing:
      Keywords: Accessory nerve; Far lateral; Foramen magnum meningioma; Type 3; Vertebral artery
    • Publication Date:
      Date Created: 20240923 Date Completed: 20240923 Latest Revision: 20240923
    • Publication Date:
      20240923
    • Accession Number:
      10.1007/s00701-024-06268-8
    • Accession Number:
      39312005