• Daniel S Leon-Ariza, Alvaro Campero, Rubby J Romero Chaparro, Diddier G Prada, Vargas Grau Gabriel G Faculty of Health Sciences, University of Santander-UDES, Bucaramanga, Colombia; Division of Neurosurgery, Hospital Universitario de Bucaramanga Los, and Albert L Rhoton.
• Department of Neurosurgery, Johns Hopkins University, Baltimore, Maryland, USA; Faculty of Health Sciences, University of Santander-UDES, Bucaramanga, Colombia. Electronic address: dleonariza@gmail.com.
• World Neurosurg. 2017 Oct 1; 106: 477-483.

AbstractForamen magnum meningiomas represent a challenge for neurosurgeons. These tumors require careful surgical manipulation as they are often located in proximity to critical neurovascular structures and the cranial nerves. The far lateral approach is considered the safest neurosurgical approach for excising foramen magnum lesions. It facilitates the access to the anterior foramen magnum and reduces the retraction of vital structures. We describe key historical, epidemiological, genetic, epigenetic, clinical, and neurosurgical aspects of foramen magnum meningiomas. We emphasize the far lateral approach for lesions arising in the foramen magnum, as well as the most appropriate patient positioning for such approach. Caring for these aspects will be rewarded with the best perioperative neurosurgical outcomes.Copyright © 2017 Elsevier Inc. All rights reserved.

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