经中线扁桃体下入路治疗枕骨大孔脑膜瘤——重新审视库欣对颅脊脑膜瘤的分类
Foramen magnum meningioma approached by the midline subtonsilar approach - Revisiting Cushing's classification of craniospinal meningiomas.
作者信息
da Silveira Roberto Leal, Von Zuben Daniela de Oliveira, Bertani Raphael, Landeiro Jose Alberto
机构信息
Department of Neurosurgery, Madre Teresa Hospital, Belo Horizonte, São Paulo, Brazil.
Department of Vascular and Skull Base, University of Sao Paulo, São Paulo, Brazil.
出版信息
Surg Neurol Int. 2023 Feb 17;14:56. doi: 10.25259/SNI_939_2022. eCollection 2023.
BACKGROUND
The management of foramen magnum meningiomas (FMMs) has been a challenge for skull base neurosurgeons. Since the initial description of a FMM in 1872, various surgical approaches have been described. Posterior and posterolateral FMMs are safely removed through a standard midline suboccipital approach. Nevertheless, we still face controversy regarding the management of anterior or anterolateral lesions.
CASE DESCRIPTION
A 47-year-old patient presented with progressive headaches, unsteadiness, and tremor. Magnetic resonance imaging showed an FMM that caused significant displacement of the brainstem.
CONCLUSION
This operative video highlights a safe and effective surgical technique for the resection of an anterior foramen magnum meningioma.
背景
枕骨大孔脑膜瘤（FMMs）的治疗一直是颅底神经外科医生面临的挑战。自1872年首次描述FMM以来，已描述了各种手术方法。后颅窝和后外侧FMM可通过标准的枕下中线入路安全切除。然而，对于前侧或前外侧病变的治疗，我们仍然面临争议。
病例描述
一名47岁患者出现进行性头痛、步态不稳和震颤。磁共振成像显示一个FMM，导致脑干明显移位。
结论
本手术视频重点介绍了一种安全有效的手术技术，用于切除前颅窝枕骨大孔脑膜瘤。
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