Foramen Magnum Meningioma: a Case Report and Review of Literature

Overview

Journal Acta Inform Med

Specialty General Medicine

Date 2016 Apr 5

PMID 27041817

Citations 2

Authors

Pavao Jurinovic

Ana Repic Bulicic

Marino Marcic

Nikolina Ivica Mise

Marina Titlic

Enra Suljic

Affiliations

Soon will be listed here.

Abstract

Introduction: Meningiomas are slow-growing benign tumors that arise at any location where arachnoid cells reside. Although meningiomas account for a sizable proportion of all primary intracranial neoplasms (14.3-19%), only 1.8 to 3.2% arise at the foramen magnum. Their indolent development at the craniocervical junction makes clinical diagnosis complex and often leads to a long interval between onset of symptoms and diagnosis.

Case Report: We report a case of a 79-year-old male patient, presented with ataxia and sense of threatening fainting during verticalization. Magnetic resonance imaging revealed the presence of meningioma in the right side of craniospinal junction.

Citing Articles

Unresectable Foramen Magnum Meningioma Treated With CyberKnife Robotic Stereotactic Radiosurgery.

Malone J, Gaviolli E, Doody J, Sinclair J, Malone S Cureus. 2020; 12(6):e8409.

PMID: 32637287 PMC: 7331916. DOI: 10.7759/cureus.8409.

Effect of postoperative systemic antipsychotic therapy on psychiatric recurrence in patients with meningiomas.

Yang P, Li L, Li M, Zhou B, Kuang W, Huang H Oncol Lett. 2018; 16(1):956-962.

PMID: 29963169 PMC: 6019958. DOI: 10.3892/ol.2018.8753.

References

Meyer F, Ebersold M, REESE D . Benign tumors of the foramen magnum. J Neurosurg. 1984; 61(1):136-42. DOI: 10.3171/jns.1984.61.1.0136. View

Akalan N, Seckin H, Kilic C, Ozgen T . Benign extramedullary tumors in the foramen magnum region. Clin Neurol Neurosurg. 1994; 96(4):284-9. DOI: 10.1016/0303-8467(94)90115-5. View

Rhoton Jr A . The foramen magnum. Neurosurgery. 2000; 47(3 Suppl):S155-93. DOI: 10.1097/00006123-200009001-00017. View

Vallee B, Besson G, Houidi K, Person H, Hieu P, Rodriguez V . [Juxta- or trans-condylar lateral extension of the posterior suboccipital approach. Anatomical study, surgical aspects]. Neurochirurgie. 1993; 39(6):348-59. View

Banerji D, Behari S, Jain V, Pandey T, Chhabra D . Extreme lateral transcondylar approach to the skull base. Neurol India. 1999; 47(1):22-30. View

Pamir M, Kilic T, Ozduman K, Ture U . Experience of a single institution treating foramen magnum meningiomas. J Clin Neurosci. 2004; 11(8):863-7. DOI: 10.1016/j.jocn.2004.02.007. View

Imamura J, Ikeyama Y, Tsutida E, Moroi J . Transoral transclival approach for intradural lesions using a protective bone baffle to block cerebrospinal fluid pulse energy--two case reports. Neurol Med Chir (Tokyo). 2001; 41(4):222-6. DOI: 10.2176/nmc.41.222. View

Mei-Hua L, Geng-Sheng X, Zhi-Qun J, Yi-Yun L, Tao H . Supracondylar transjugular tubercle approach to intradural lesions anterior or anterolateral to the craniocervical junction without resection of the occipital condyle. Turk Neurosurg. 2013; 23(2):202-7. DOI: 10.5137/1019-5149.JTN.6744-12.1. View

Howe J, TAREN J . Foramen magnum tumors. Pitfalls in diagnosis. JAMA. 1973; 225(9):1061-6. View

10.

Arnautovic K, Al-Mefty O, Husain M . Ventral foramen magnum meninigiomas. J Neurosurg. 2000; 92(1 Suppl):71-80. DOI: 10.3171/spi.2000.92.1.0071. View

11.

Iseda T, Goya T, Nakano S, Wakisaka S . Magnetic resonance imaging and angiographic appearance of meningioma of the fourth ventricle--two case reports. Neurol Med Chir (Tokyo). 1997; 37(1):36-40. DOI: 10.2176/nmc.37.36. View

12.

George B, Lot G, Boissonnet H . Meningioma of the foramen magnum: a series of 40 cases. Surg Neurol. 1997; 47(4):371-9. DOI: 10.1016/s0090-3019(96)00204-2. View

13.

Samii M, Klekamp J, Carvalho G . Surgical results for meningiomas of the craniocervical junction. Neurosurgery. 1996; 39(6):1086-94; discussion 1094-5. DOI: 10.1097/00006123-199612000-00003. View

14.

George B, Dematons C, Cophignon J . Lateral approach to the anterior portion of the foramen magnum. Application to surgical removal of 14 benign tumors: technical note. Surg Neurol. 1988; 29(6):484-90. DOI: 10.1016/0090-3019(88)90145-0. View

15.

George B . [Value and control possibilities of the vertebral artery in tumor surgery at the base of the skull]. Ann Otolaryngol Chir Cervicofac. 1992; 109(3):156-61. View

16.

Gocmez C, Goya C, Hamidi C, Kamasak K, Yilmaz T, Turan Y . Three-dimensional analysis of foramen magnum and its adjacent structures. J Craniofac Surg. 2013; 25(1):93-7. DOI: 10.1097/SCS.0b013e3182a2ea10. View

17.

Kanai M, Kawano K, Uehara S . [A case of foramen magnum meningioma in which case enhanced three-dimensional CT scan was valuable for preoperative evaluation of the surgical approach]. No Shinkei Geka. 1997; 25(7):641-5. View

18.

Crockard H, Sen C . The transoral approach for the management of intradural lesions at the craniovertebral junction: review of 7 cases. Neurosurgery. 1991; 28(1):88-97; discussion 97-8. DOI: 10.1097/00006123-199101000-00014. View

19.

Wara W, SHELINE G, Newman H, Townsend J, Boldrey E . Radiation therapy of meningiomas. Am J Roentgenol Radium Ther Nucl Med. 1975; 123(3):453-8. DOI: 10.2214/ajr.123.3.453. View

20.

Bruneau M, George B . Classification system of foramen magnum meningiomas. J Craniovertebr Junction Spine. 2010; 1(1):10-7. PMC: 2944858. DOI: 10.4103/0974-8237.65476. View