J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803420
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Extreme Lateral Partial Transcondylar Approach for Excision of a Giant Foramen Magnum Meningioma in a Patient with Dominant Occipital and Circular Sinus

Authors

  • Varadaraya S. Shenoy

    1   Harborview Medical Center, University of Washington, Seattle, Washington, United States

  • Basavaraj V. Ghodke

    1   Harborview Medical Center, University of Washington, Seattle, Washington, United States

  • Laligam N. Sekhar

    1   Harborview Medical Center, University of Washington, Seattle, Washington, United States
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A 62-year-old man presenting with severe progressive headaches was found to have a giant World Health Organization grade 2 meningioma in the foramen magnum (FM) region with severe compression of the brainstem. The patient had a dominant occipital sinus and circular sinus with bilaterally hypoplastic transverse sinus which made tumor resection very challenging through a narrow operative corridor. We demonstrate the operative technique, lessons learned, and strategy to achieve gross total resection.

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Artikel online veröffentlicht:
07. Februar 2025

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