Tailored Surgical Approaches for Foramem Magnum Tumors
Arq. bras. neurocir
;
39(2): 61-67, 15/06/2020.
Artículo
en Inglés
| LILACS
| ID: biblio-1362492
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 from12 to 63 years old.We observed 1 operativemortality (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 Themajority of tumors located in the FMcan be safely and efficiently removed usingeither thelateral suboccipital approach, standardmiddlelinesuboccipital craniotomy, or the far lateral approach, depending on the anatomic location of the lesions.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Procedimientos Neuroquirúrgicos
/
Foramen Magno
/
Neoplasias Meníngeas
/
Meningioma
Tipo de estudio:
Estudio observacional
Idioma:
Inglés
Revista:
Arq. bras. neurocir
Asunto de la revista:
Cirurgia
/
Neurocirugía
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Centro de Neurocirurgia das Américas/BR
/
Copa D'or Hospital/BR
/
Public Servants Hospital/BR
/
University of Ponta Grossa/BR
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