A Modified "far-lateral" Approach for Safe Resection of Retroodontoid Dural Cysts
Overview
Affiliations
Cystic mass lesions at the ventral craniocervical junction have been described only rarely in the past, however, they have received more attention with improved imaging modalities in recent years. These lesions have been approached by various operative procedures. A modified "far-lateral" approach combined with a C1 hemilaminectomy without fusion was used to safely remove the cyst and decompress the cervical medulla in a 72-year-old woman with cervicooccipital pain and paresthesia in both arms. Following surgery, complete resolution of symptoms was achieved, and no recurrence at 1 year follow-up was detected. A modified "far-lateral" approach offers several advantages when compared with other operation techniques.
A minimal access far-lateral approach to foramen magnum lesions.
Kryzanski J, Robertson J, Heilman C J Neurol Surg B Skull Base. 2014; 75(4):236-42.
PMID: 25093146 PMC: 4108491. DOI: 10.1055/s-0034-1371363.