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| Name | Microsurgical resection of foramen magnum meningioma thru a transcondylar approach: 3D operative vid |
| Video Uploader | Video From American Association of Neurological Surgeons |
| Upload Date | This Video Uploaded At 02-01-2020 20:57:07 |
| Video Discription | Guilherme H. W. Ceccato,1 Rodolfo F. M. da Rocha,2 Duarte N. C. Cândido, MD,3 Wladimir O. Melo, MD,4 Marcio S. Rassi, MD,5 and Luis A. B. Borba, MD, PhD5,6 1School of Medicine, Federal University of Paraná, Curitiba, Paraná; 2School of Medicine, Faculdade Evangélica do Paraná, Curitiba, Paraná; 3Department of Neurosurgery, Santa Casa de Misericórdia de Maceió, Maceió, Alagoas; 4Department of Neurosurgery, Hospital Monsenhor Walfredo Gurgel, Natal, Rio Grande do Norte; 5Department of Neurosurgery, Evangelic University Hospital of Curitiba, Paraná; and 6Department of Neurosurgery, Federal University of Paraná, Curitiba, Paraná, Brazil Foramen magnum (FM) meningiomas are challenging lesions. We present the case of a 38-year-old female with neck pain, dysphonia, and slight twelfth nerve palsy. Imaging workup was highly suggestive of an FM meningioma, and microsurgical resection with the aid of intraoperative neurophysiological monitoring was indicated. A transcondylar approach was employed, the vertebral artery was mobilized, and the tumor was completely removed. Postoperative MRI demonstrated complete resection. There were no signs of cervical instability. The patient presented with improvement of her symptoms and no new neurological deficit on follow-up. FM meningiomas can be successfully resected using a transcondylar approach, since it increases the exposure of the ventral FM, allowing the surgeon to work parallel to the skull base and flush with the tumor’s attachment. Informed consent was obtained from the patient for publication of this operative video. **Intro music: "Daybreak" by Graeme Rosner |
| Category | Science & Technology |
| Tags | iMovie | foramen magnum | brainstem | craniovertebral | AANS | Neurosurgical Focus | Journal of Neurosurgery | meningioma | transcondylar |
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