Anterolateral Foramen Magnum Meningioma:  Case Report and Literature Review

Sadam Tawfik; Abdelkouddous  Laaidi; Abdelhamid Jehri; Jihane Limi; Saad Hmada; Abdessamad Naja; Abdelhakim Lakhdar

doi:10.24018/ejmed.2023.5.6.1810

Case Study

Sadam Tawfik

Ibn Rochd, University Hospital, Morocco

* Corresponding author

Abdelkouddous Laaidi

Ibn Rochd, University Hospital, Morocco

Abdelhamid Jehri

Ibn Rochd, University Hospital, Morocco

Jihane Limi

Ibn Rochd, University Hospital, Morocco

Saad Hmada

Ibn Rochd, University Hospital, Morocco

Abdessamad Naja

University of Hassan II Casablanca, Morocco

Abdelhakim Lakhdar

University of Hassan II Casablanca, Morocco

10.24018/ejmed.2023.5.6.1810

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Submitted 2023-05-16
Published 2023-12-26

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Abstract

Meningiomas are benign tumors dependent on arachnoid cells. Localization to the foramen magnum is rare and represents a surgical challenge. Surgical planning is crucial to choose an optimal approach and to avoid morbidity. We report a case of anterolateral meningioma of the craniocervical junction in a 49-year-old female patient with complaints of progressive weakness of the right arm for the past 6 months. Magnetic resonance imaging showed an extramedullary intradural tumor with dural insertion regarding the body of C1 vertebrae. The patient underwent surgery via suboccipital approach with a C1 laminectomy and a Simpson grade 2 resection was performed. The patient improved postoperatively and returned to her daily activities. We perform a literature review to discuss the considerations for the optimal surgical strategy for the approach of foramen magnum meningiomas.

Keywords: craniocervical junction meningioma of the foramen magnum

References

Arnautović KI, Al-Mefty O, Husain M. Ventral foramen magnum meninigiomas. J Neurosurg. 2000 Jan;92(1 Suppl):71–80.
DOI | Google Scholar

Meyer FB, Ebersold MJ, Reese DF. Benign tumors of the foramen magnum. J Neurosurg. 1984 Jul;61(1):136–42.
DOI | Google Scholar

Akalan N, Seçkin H, Kiliç C, Ozgen T. Benign extramedullary tumors in the foramen magnum region. Clin Neurol Neurosurg. 1994 Nov;96(4):284–9.
DOI | Google Scholar

Paun L, Gondar R, Borrelli P, Meling TR. Foramen magnum meningiomas: a systematic review and meta-analysis. Neurosurg Rev. 2021 Jan 28;
DOI | Google Scholar

Sharma BS, Gupta SK, Khosla VK, Mathuriya SN, Khandelwal N, Pathak A, et al. Midline and far lateral approaches to foramen magnum lesions. Neurol India. 1999 Dec;47(4):268–71.
Google Scholar

Bassiouni H, Ntoukas V, Asgari S, Sandalcioglu EI, Stolke D, Seifert V. Foramen magnum meningiomas: clinical outcome after microsurgical resection via a posterolateral suboccipital retrocondylar approach. Neurosurgery. 2006 Dec;59(6):1177–85; discussion 1185-1187.
DOI | Google Scholar

Samii M, Klekamp J, Carvalho G. Surgical results for meningiomas of the craniocervical junction. Neurosurgery. 1996 Dec;39(6):1086–94; discussion 1094-1095.
DOI | Google Scholar

Talacchi A, Biroli A, Soda C, Masotto B, Bricolo A. Surgical management of ventral and ventrolateral foramen magnum meningiomas: report on a 64-case series and review of the literature. Neurosurg Rev. 2012 Jul;35(3):359–67; discussion 367-368.
DOI | Google Scholar

Bruneau M, George B. Classification system of foramen magnum meningiomas. J Craniovertebral Junction Spine. 2010 Jan;1(1):10–7.
DOI | Google Scholar

Bydon M, Martin Ma T, Xu R, Weingart J, Olivi A, Gokaslan ZL, et al. Surgical outcomes of craniocervial junction meningiomas: a series of 22 consecutive patients. Clin Neurol Neurosurg. 2014 Feb;117:71–9.
DOI | Google Scholar

Pirotte BJM, Brotchi J, DeWitte O. Management of anterolateral foramen magnum meningiomas: surgical vs conservative decision making. Neurosurgery. 2010 Sep;67(3 Suppl Operative):58-70; discussion 70.
DOI | Google Scholar

Colli BO, Carlotti-Junior CG, Assirati-Junior JA, Borba LAB, Coelho-Junior V de PM, Neder L. Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country. ArqNeuropsiquiatr. 2014 Jul;72(7):528–37.
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Anterolateral Foramen Magnum Meningioma: Case Report and Literature Review. (2023). European Journal of Medical and Health Sciences, 5(6), 13-15. https://doi.org/10.24018/ejmed.2023.5.6.1810

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Vol. 5 No. 6 (2023)

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[1] Arnautović KI, Al-Mefty O, Husain M. Ventral foramen magnum meninigiomas. J Neurosurg. 2000 Jan;92(1 Suppl):71–80.
DOI | Google Scholar

[2] Meyer FB, Ebersold MJ, Reese DF. Benign tumors of the foramen magnum. J Neurosurg. 1984 Jul;61(1):136–42.
DOI | Google Scholar

[3] Akalan N, Seçkin H, Kiliç C, Ozgen T. Benign extramedullary tumors in the foramen magnum region. Clin Neurol Neurosurg. 1994 Nov;96(4):284–9.
DOI | Google Scholar

[4] Paun L, Gondar R, Borrelli P, Meling TR. Foramen magnum meningiomas: a systematic review and meta-analysis. Neurosurg Rev. 2021 Jan 28;
DOI | Google Scholar

[5] Sharma BS, Gupta SK, Khosla VK, Mathuriya SN, Khandelwal N, Pathak A, et al. Midline and far lateral approaches to foramen magnum lesions. Neurol India. 1999 Dec;47(4):268–71.
Google Scholar

[6] Bassiouni H, Ntoukas V, Asgari S, Sandalcioglu EI, Stolke D, Seifert V. Foramen magnum meningiomas: clinical outcome after microsurgical resection via a posterolateral suboccipital retrocondylar approach. Neurosurgery. 2006 Dec;59(6):1177–85; discussion 1185-1187.
DOI | Google Scholar

[7] Samii M, Klekamp J, Carvalho G. Surgical results for meningiomas of the craniocervical junction. Neurosurgery. 1996 Dec;39(6):1086–94; discussion 1094-1095.
DOI | Google Scholar

[8] Talacchi A, Biroli A, Soda C, Masotto B, Bricolo A. Surgical management of ventral and ventrolateral foramen magnum meningiomas: report on a 64-case series and review of the literature. Neurosurg Rev. 2012 Jul;35(3):359–67; discussion 367-368.
DOI | Google Scholar

[9] Bruneau M, George B. Classification system of foramen magnum meningiomas. J Craniovertebral Junction Spine. 2010 Jan;1(1):10–7.
DOI | Google Scholar

[10] Bydon M, Martin Ma T, Xu R, Weingart J, Olivi A, Gokaslan ZL, et al. Surgical outcomes of craniocervial junction meningiomas: a series of 22 consecutive patients. Clin Neurol Neurosurg. 2014 Feb;117:71–9.
DOI | Google Scholar

[11] Pirotte BJM, Brotchi J, DeWitte O. Management of anterolateral foramen magnum meningiomas: surgical vs conservative decision making. Neurosurgery. 2010 Sep;67(3 Suppl Operative):58-70; discussion 70.
DOI | Google Scholar

[12] Colli BO, Carlotti-Junior CG, Assirati-Junior JA, Borba LAB, Coelho-Junior V de PM, Neder L. Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country. ArqNeuropsiquiatr. 2014 Jul;72(7):528–37.
DOI | Google Scholar

Anterolateral Foramen Magnum Meningioma: Case Report and Literature Review

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