Total resection of foramen magnum meningioma via a far-lateral approach – a case report

• Authors: Michał Szymoniuk , Leon Sakwa , Łukasz Domagalski , Jakub Krzysztof Gałązka , Zofia Hoffman , Aleksandra Dryla , Wojciech Czyżewski , Dariusz Szczepanek , Kamil Torres , Radosław Rola

Abstracts

EN

Introduction and aim. The foramen magnum is a rare location of meningioma development, accounting for 1.8 to 3.2% of all reported tumors of this type. Microsurgical resection, representing a gold standard in foramen magnum meningioma treatment, may result in various neurological deficits or incomplete resection due to challenging anatomical conditions. Currently, even surgical resections of foramen magnum meningioma conducted by experienced neurosurgeons are burdened by a relatively high complication rate of 17.2% Description of the case. We report the case of a 25-year-old male who presented increasing headaches and decreasing activity for 5 months. In his medical history, the patient had been diagnosed with cerebral palsy, autism spectrum disorder, and suffered partial seizures. Magnetic resonance imaging revealed anterolateral foramen magnum meningioma. The tumor was resected via a far-lateral approach. After the surgery, the patient maintained a preoperative neurological state without additional neurological deficits. The post-operative magnetic resonance imaging demonstrated complete tumor removal. Histopathological examination revealed transitional meningioma (WHO grade I). Conclusion. Our case demonstrates that the far-lateral approach can be efficient for the resection of anterolateral foramen magnum meningioma. In such cases, Simpson grade 1 can be achieved without complications, providing immediate relief of symptoms and minimizing the risk of recurrence.

Keywords

EN

case report; far lateral approach; foramen magnum meningioma; meningioma; transitional meningioma

• Publisher: Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
• Journal: European Journal of Clinical and Experimental Medicine
• Year: 2024
• Volume: 22
• Issue: 1
• Pages: 243-247

Dates

published

2024

Contributors

author

Michał Szymoniuk

• Department of Neurosurgery and Paediatric Neurosurgery, Medical University of Lublin, Lublin, Poland

author

Leon Sakwa

• Student Scientific Society, Kazimierz Pulaski University of Technologies and Humanities in Radom, Radom, Poland

author

Łukasz Domagalski

• Department of Neurosurgery and Paediatric Neurosurgery, Medical University of Lublin, Lublin, Poland

author

Jakub Krzysztof Gałązka

• Department of Clinical Immunology, Medical University of Lublin, Lublin, Poland

author

Zofia Hoffman

• Department of Human Anatomy, Medical University of Lublin, Lublin, Poland

author

Aleksandra Dryla

• Department of Neurosurgery and Paediatric Neurosurgery, Medical University of Lublin, Lublin, Poland

author

Wojciech Czyżewski

• Department of Neurosurgery and Paediatric Neurosurgery, Medical University of Lublin, Lublin, Poland
• Department of Didactics and Medical Simulation, Medical University of Lublin, Lublin, Poland

author

Dariusz Szczepanek

• Department of Neurosurgery and Paediatric Neurosurgery, Medical University of Lublin, Lublin, Poland

author

Kamil Torres

• Department of Didactics and Medical Simulation, Medical University of Lublin, Lublin, Poland

author

Radosław Rola

• Department of Neurosurgery and Paediatric Neurosurgery, Medical University of Lublin, Lublin, Poland

Identifiers

DOI

10.15584/ejcem.2024.1.18

Biblioteka Nauki

40521375