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대후두공의 앞쪽에 발생한 뇌수막종에 대한 수술

Authors
 홍창기  ;  안정용  ;  이규성 
Citation
 Journal of Korean Skull Base Society (대한두개저외과학회지), Vol.2(2) : 63-67, 2007 
Journal Title
 Journal of Korean Skull Base Society (대한두개저외과학회지) 
ISSN
 1975-4639 
Issue Date
2007
Abstract
Objective: The surgical approach to foramen magnum meningioma is crucial to get a radical removal. The standard surgical technique is based in far lateral suboccipital approach. In this paper the authors present a surgical series of foramen magnum meningioma, which were removed with a technique based in the removal of tumor from the posterior skull base without low cranial nerve injury. Methods : From March 2001 to February 2006, 12 patients with a foramen magnum meningioma were operated. The far lateral extension of the classic suboccipital craniectomy has been found to reduce the depth of the field and improve the angle of surgical perspective to the ventrolateral clivus. The surgical techniques proposed were based in the exposure of anterior aspect of brainstem. The suboccipital craniectomy and partial condylectomy were performed exposing the jugular bulb, sigmoid. The tumor was removed as piecemeal fashion with the help of suction and coagulation. The anterior border of the tumor was removed using a dissection under the low cranial nerve. The dura of the posterior fossa was opened and an intradural tumor removed. After removal, the dura was closed and the defect occluded with tachocomb. Results : We removed the mass by partial condylectomy via far lateral transcondylar approach without neurological deficit and postoperative craniovertebral instability. Conclusion : If a lesion may be approached through a perpendicular exposure, the suboccipital craniectomy alone may be sufficient, especially ventral foramen magnum meningioma. Additional exposure of the ventrolateral clivus without brainstem retraction requires condylar removal.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Jung Yong(안정용)
Lee, Kyu Sung(이규성)
Hong, Chang Ki(홍창기) ORCID logo https://orcid.org/0000-0002-2761-0373
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107286
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