{"id":"c0f234bd-f9b2-4f48-ac4d-1b7a9a2c4980","slug":"foramen-magnum-meningioma-approached-by-the-midline-subtonsilar-approach-revisiting-cushings-classification-of-craniospinal-meningiomas","title":"Foramen magnum meningioma approached by the midline subtonsilar approach – Revisiting Cushing’s classification of craniospinal meningiomas","authors":["Roberto Leal da Silveira","Daniela de Oliveira Von Zuben","Raphael Bertani","Jose Alberto Landeiro"],"abstract":"Background: The management of foramen magnum meningiomas (FMMs) has been a challenge for skull base neurosurgeons. Since the initial description of a FMM in 1872, various surgical approaches have been described. Posterior and posterolateral FMMs are safely removed through a standard midline suboccipital approach. Nevertheless, we still face controversy regarding the management of anterior or anterolateral lesions. Case Description: A 47-year-old patient presented with progressive headaches, unsteadiness, and tremor. Magnetic resonance imaging showed an FMM that caused significant displacement of the brainstem. Conclusion: This operative video highlights a safe and effective surgical technique for the resection of an anterior foramen magnum meningioma.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/c0f234bd-f9b2-4f48-ac4d-1b7a9a2c4980/featured/hero-1781560508432.png","publishDate":"2023-02-17T00:00:00.000Z","doi":"10.25259/SNI_939_2022","categories":["Skull Base","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/c0f234bd-f9b2-4f48-ac4d-1b7a9a2c4980/pdf"}