Tailored Surgical Approaches for Foramem Magnum Tumors
Arq. bras. neurocir
; 39(2): 61-67, 15/06/2020.
Article
Dans En
| LILACS
| ID: biblio-1362492
Responsable en Bibliothèque :
BR1.1
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.
Texte intégral:
1
Indice:
LILACS
Sujet Principal:
Procédures de neurochirurgie
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Foramen magnum
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Tumeurs des méninges
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Méningiome
Type d'étude:
Observational_studies
langue:
En
Texte intégral:
Arq. bras. neurocir
Thème du journal:
Cirurgia
/
NEUROCIRURGIA
Année:
2020
Type:
Article