{"id":"1995d0f4-6ead-4cac-b377-73a081fe59f3","slug":"how-i-do-it","title":"How I Do It","authors":["Jorge Lazareff"],"abstract":"Background: Surgical management of ventral foramen magnum meningiomas (FMMs) is challenging due to intervening neurovascular structures. The endoscopic endonasal transclival approach provides a direct access, offering a potential route to achieve Simpson Grade 1 resection while minimizing brainstem retraction. Method: We detail the technical nuances of a binostril, four-handed EEA for a ventral FMM. We explain the key anatomical landmarks required for safe decompression, including clival drilling limits, the identification of pre-medullary neurovascular structures, and the execution of a multilayered reconstruction. Conclusion: The EEA is a safe alternative for ventral FMMs in cases without significant lateral or caudal extension.","thumbnailUrl":null,"publishDate":"2014-03-10T00:00:00.000Z","doi":"10.4103/2152-7806.128460","categories":["Pediatric Neurosurgery","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/1995d0f4-6ead-4cac-b377-73a081fe59f3/pdf"}