Turkish Neurosurgery
Foramen Magnum Meningiomas: A Report of 10 Cases and Literatüre Review
Abidin Murat Geyik1, Serhat Pusat2, Mehmet Alptekin3, Berna Kaya Uğur4, Sırma Geyik5, Ali Nehir1, İbrahim Erkutlu1
1Gaziantep Unıversity Faculty of Medicine, Neurosurgery, Gaziantep,
2Health Science University Sultan Abdulhamid Training and Research Hospital, Neurosurgery, İstanbul,
3Gaziantep Private Live Hospital , Neurosurgery, Gaziantep,
4Gaziantep University Faculty of Medicine, Aaesthesiology and Reanimation, Gaziantep,
5Gaziantep University Faculty of Medicine , Neurology, Gaziantep,
6Gaziantep Universty Faculty of Medicine, Neurosurgery, Gaziantep,
7Gaziantep University Faculty of medicine, Neurosurgery, Gaziantep,
DOI: 10.5137/1019-5149.JTN.33015-20.2

Aim:Surgeries of foramen magnum meningiomas are highly complex due to their close proximity to vascular and neural structures. This study presents the findings and surgical results of foramen magnum meningioma surgeries performed by us.Material and Methods:Ten patients operated between 2014 and 2019 were retrospectively analyzed in terms of age, gender, neurological examination, and postoperative status. The female-to-male (F/M) ratio of the patients was 6/4, and the age range was 19–70 years (mean = 59). All patients presented with occipitocervical pain and were operated using the midline lateral suboccipital approach. Results:: One of the operated patients died in the intensive care unit due to upper gastrointestinal tract bleeding. Additionally, one patient had paresis in the early postoperative period, which resolved in the third follow-up month.Conclusion:Foramen magnum meningiomas are operated safely by microsurgical methods using the midline lateral suboccipital approach after suboccipital triangle and vertebral artery are exposed.

Corresponding author : Serhat Pusat