Approaches to anterior and anterolateral foramen magnum lesions: A critical review

Ricardo J. Komotar, Brad E. Zacharia, Robert A. McGovern, Michael B. Sisti, Jeffrey N. Bruce, Anthony L. D'Ambrosio

Research output: Contribution to journalReview article

19 Citations (Scopus)

Abstract

Foramen magnum (FM) lesions represent some of the most complex cases for the modern neurosurgeon because of their location near vital brainstem structures, the vertebral arteries, and lower cranial nerves. In particular, anterior or anterolaterally located FM tumors have traditionally been most difficult to resect with high morbidity and mortality resulting from approaches through the posterior midline or transorally. For many neurosurgeons, the far lateral, extreme lateral approach, and more recently, endoscopic endonasal approaches have become the preferred modern methods for the resection of anterior or anterolateral FM tumors. In this review, we examine both operative and non-operative approaches to FM tumors, including surgical anatomy, surgical technique, and indications for operative intervention in these complex cases. In addition, we compared outcomes from prior series.

Original languageEnglish (US)
Pages (from-to)86-99
Number of pages14
JournalJournal of Craniovertebral Junction and Spine
Volume1
Issue number2
DOIs
StatePublished - Jul 1 2010

Fingerprint

Foramen Magnum
Neoplasms
Vertebral Artery
Cranial Nerves
Brain Stem
Anatomy
Morbidity
Mortality
Neurosurgeons

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Komotar, Ricardo J. ; Zacharia, Brad E. ; McGovern, Robert A. ; Sisti, Michael B. ; Bruce, Jeffrey N. ; D'Ambrosio, Anthony L. / Approaches to anterior and anterolateral foramen magnum lesions : A critical review. In: Journal of Craniovertebral Junction and Spine. 2010 ; Vol. 1, No. 2. pp. 86-99.
@article{03e316eb1234415a8fe4e4a17d62e7bb,
title = "Approaches to anterior and anterolateral foramen magnum lesions: A critical review",
abstract = "Foramen magnum (FM) lesions represent some of the most complex cases for the modern neurosurgeon because of their location near vital brainstem structures, the vertebral arteries, and lower cranial nerves. In particular, anterior or anterolaterally located FM tumors have traditionally been most difficult to resect with high morbidity and mortality resulting from approaches through the posterior midline or transorally. For many neurosurgeons, the far lateral, extreme lateral approach, and more recently, endoscopic endonasal approaches have become the preferred modern methods for the resection of anterior or anterolateral FM tumors. In this review, we examine both operative and non-operative approaches to FM tumors, including surgical anatomy, surgical technique, and indications for operative intervention in these complex cases. In addition, we compared outcomes from prior series.",
author = "Komotar, {Ricardo J.} and Zacharia, {Brad E.} and McGovern, {Robert A.} and Sisti, {Michael B.} and Bruce, {Jeffrey N.} and D'Ambrosio, {Anthony L.}",
year = "2010",
month = "7",
day = "1",
doi = "10.4103/0974-8237.77672",
language = "English (US)",
volume = "1",
pages = "86--99",
journal = "Journal of Craniovertebral Junction and Spine",
issn = "0974-8237",
publisher = "Medknow Publications and Media Pvt. Ltd",
number = "2",

}

Approaches to anterior and anterolateral foramen magnum lesions : A critical review. / Komotar, Ricardo J.; Zacharia, Brad E.; McGovern, Robert A.; Sisti, Michael B.; Bruce, Jeffrey N.; D'Ambrosio, Anthony L.

In: Journal of Craniovertebral Junction and Spine, Vol. 1, No. 2, 01.07.2010, p. 86-99.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Approaches to anterior and anterolateral foramen magnum lesions

T2 - A critical review

AU - Komotar, Ricardo J.

AU - Zacharia, Brad E.

AU - McGovern, Robert A.

AU - Sisti, Michael B.

AU - Bruce, Jeffrey N.

AU - D'Ambrosio, Anthony L.

PY - 2010/7/1

Y1 - 2010/7/1

N2 - Foramen magnum (FM) lesions represent some of the most complex cases for the modern neurosurgeon because of their location near vital brainstem structures, the vertebral arteries, and lower cranial nerves. In particular, anterior or anterolaterally located FM tumors have traditionally been most difficult to resect with high morbidity and mortality resulting from approaches through the posterior midline or transorally. For many neurosurgeons, the far lateral, extreme lateral approach, and more recently, endoscopic endonasal approaches have become the preferred modern methods for the resection of anterior or anterolateral FM tumors. In this review, we examine both operative and non-operative approaches to FM tumors, including surgical anatomy, surgical technique, and indications for operative intervention in these complex cases. In addition, we compared outcomes from prior series.

AB - Foramen magnum (FM) lesions represent some of the most complex cases for the modern neurosurgeon because of their location near vital brainstem structures, the vertebral arteries, and lower cranial nerves. In particular, anterior or anterolaterally located FM tumors have traditionally been most difficult to resect with high morbidity and mortality resulting from approaches through the posterior midline or transorally. For many neurosurgeons, the far lateral, extreme lateral approach, and more recently, endoscopic endonasal approaches have become the preferred modern methods for the resection of anterior or anterolateral FM tumors. In this review, we examine both operative and non-operative approaches to FM tumors, including surgical anatomy, surgical technique, and indications for operative intervention in these complex cases. In addition, we compared outcomes from prior series.

UR - http://www.scopus.com/inward/record.url?scp=79953214079&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79953214079&partnerID=8YFLogxK

U2 - 10.4103/0974-8237.77672

DO - 10.4103/0974-8237.77672

M3 - Review article

C2 - 21572629

AN - SCOPUS:79953214079

VL - 1

SP - 86

EP - 99

JO - Journal of Craniovertebral Junction and Spine

JF - Journal of Craniovertebral Junction and Spine

SN - 0974-8237

IS - 2

ER -