Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country

Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country

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Objective: To analyze the clinical outcome of patients with foramen magnum (FM) meningiomas.Method: Thirteen patients (11 Feminine / 2 Masculine with FM meningiomas operated on through lateral suboccipital approach were studied.Clinical outcome were analyzed using survival (SC) and recurrence-free survival read more curves (RFSC).

Results: All tumors were World Health Organization grade I.Total, subtotal and partial resections were acchieved in 69.2%, 23.

1% and 7.7%, respectively, and SC was better for males and RFSC for females.Tumor location, click here extent of resection and involvement of vertebral artery/lower cranial nerves did not influence SC and RFSC.

Recurrence rate was 7.7%.Operative mortality was 0.

Main complications were transient (38.5%) and permanent (7.7%) lower cranial nerve deficits, cerebrospinal fluid fistula (30.

8%), and transient and permanent respiratory difficulties in 7.7% each.Conclusions: FM meningiomas can be adequately treated in public hospitals in developing countries if a multidisciplinary team is available for managing postoperative lower cranial nerve deficits.