Gross total excision of pediatric giant cystic craniopharyngioma with huge retroclival extension to the level of foramen magnum by anterior trans petrous approach: report of two cases and review of literature

2007 ◽  
Vol 24 (3) ◽  
pp. 385-391 ◽  
Author(s):  
Narayanam Anantha Sai Kiran ◽  
Ashish Suri ◽  
Manish Kumar Kasliwal ◽  
Anil Garg ◽  
Faiz Uddin Ahmad ◽  
...  
Keyword(s):  
Foramen Magnum ◽  
Total Excision ◽  
Review Of Literature ◽  
Cystic Craniopharyngioma

scholarly journals A rare case of intramedullary schwannoma at conus medullaris: A case report with review of literature

2020 ◽  
Vol 11 ◽  
pp. 454
Author(s):  
Rahul Varshney ◽  
Pranjal Bharadwaj ◽  
Ajay Choudhary ◽  
Purnima Paliwal ◽  
Kaviraj Kaushik
Keyword(s):  
Urinary Incontinence ◽  
Rare Case ◽  
Conus Medullaris ◽  
Thoracolumbar Junction ◽  
Case Description ◽  
Total Excision ◽  
Review Of Literature ◽  
Sphincter Function ◽  
Intramedullary Schwannoma ◽  
Primary Spine

Background: Intramedullary spinal schwannomas constitute only 0.3% of primary spine tumors. We could identify only 13 such cases involving the conus that were not associated with neurofibromatosis (NF). Here, we report a 70-year-old male without NF who was found to have a paraparesis due to a schwannoma of the thoracolumbar junction/conus (D11-L2). Case Description: A 70-year-old male presented with an L1-level paraparesis with urinary incontinence. The magnetic resonance showed an intramedullary mass of 85 × 10 mm extending from D11 to L2; it demonstrated significant patchy enhancement. The patient underwent a D12 and L1 laminectomy with gross total excision of the mass that proved to be a schwannoma. Three months postoperatively, he was able to ambulate with support, and regained sphincter function. Conclusion: Intramedullary schwannomas involving the conus/thoracolumbar junction are rare, and can be successfully excised resulting in good outcomes.

scholarly journals Foramen Magnum Meningioma: a Case Report and Review of Literature

2016 ◽  
Vol 24 (1) ◽  
pp. 74 ◽  
Author(s):  
Pavao Jurinovic ◽  
Ana Bulicic ◽  
Marino Marcic ◽  
Nikolina Mise ◽  
Marina Titlic ◽  
...  
Keyword(s):  
Case Report ◽  
Foramen Magnum ◽  
Review Of Literature

scholarly journals Pure posterior chordoid foramen magnum meningioma: A case report and review of literature

2021 ◽  
Vol 65 ◽  
pp. 102325
Author(s):  
Ali Hammed ◽  
Moufid Mahfoud ◽  
Alaa Sulaiman ◽  
Adnan Najm ◽  
Salah Hammed
Keyword(s):  
Case Report ◽  
Foramen Magnum ◽  
Review Of Literature

scholarly journals Far Lateral Transcondylar Approach for Anterior Foramen Magnum Lesions

2020 ◽  
Vol 24 (2) ◽  
pp. 149-155
Author(s):  
WAQAS MEHDI ◽  
AZAM NIAZ ◽  
MUHAMMAD IRFAN ◽  
SHAHZAIB TASDIQUE ◽  
SAMRA MAJEED
Keyword(s):  
Craniovertebral Junction ◽  
Foramen Magnum ◽  
Initial Assessment ◽  
Cervical Cord ◽  
Total Excision ◽  
Cardiorespiratory Arrest ◽  
Transcondylar Approach ◽  
Upper Cervical ◽  
Far Lateral ◽  
Malignant Lesions

Objective:  To study the efficacy and safety of far-lateral transcondylar approach for anterior foramen magnum lesions with early experience at our Institute. Material and Methods:  We treated six patients, with lesion anterior to the foramen magnum and posterior to the brainstem and cervical cord in a period of 2 years, March 2017 to March 2018.Initial assessment was made by history and examination followed by CT scan and contrast MRI. All were treated using far-lateral transcondylar approach. Result:  Among six patients, there were two were male and four were female. Three of these patients had a meningioma while two patients had neurofibromas and one clival chordoma. Total excision was achieved in five neoplastic cases, while subtotal excision was done in one case. There were no fresh postoperative deficits in any of the other patients. One patient had an unexplained sudden cardiorespiratory arrest 18h after the surgery and succumbed. One patient had cerebrospinal fluid (CSF) discharge from the wound, which was satisfactorily managed by lumber CSF drainage. Conclusion:  This approach provides an excellent approach to lesions located anterior to foramen magnum posterior to the brainstem and upper cervical cord. Gross total excision of these benign and malignant lesions is safely possible through this approach. Keywords:  Craniovertebral Junction, Far-Lateral Transcondylar Approach, Anterior Foramen Magnum, Brain Stem, Chordoma.

Ventral foramen magnum neurenteric cysts: a case series and review of literature

2015 ◽  
Vol 39 (4) ◽  
pp. 535-544 ◽  
Author(s):  
G. Lakshmi Prasad ◽  
Bhawani Shankar Sharma ◽  
Ashok Kumar Mahapatra
Keyword(s):  
Case Series ◽  
Foramen Magnum ◽  
Review Of Literature

scholarly journals Iniencephaly: a rare birth defect

2018 ◽  
Vol 7 (3) ◽  
pp. 1236
Author(s):  
Alpana Singh ◽  
Vasudha Gupta ◽  
Amrita .
Keyword(s):  
Neural Tube Defect ◽  
Birth Defect ◽  
Poor Prognosis ◽  
Foramen Magnum ◽  
Maternal Serum ◽  
Review Of Literature ◽  
Fetal Head ◽  
Serum Alpha Fetoprotein ◽  
Occipital Bone Defect ◽  
Ultrasound Features

Iniencephaly is form of neural tube defect which includes occipital bone defect at foramen magnum along with fixed retroflexion of fetal head and absence of fetal neck. Incidence of iniencephaly is 0.1-10 in 10,000 pregnancies. There is a known female predilection for this condition. Iniencephaly has a poor prognosis. It can be diagnosed antenatally by raised maternal serum alpha-fetoprotein and typical ultrasound features. Termination should be advised to patients who present before 20 weeks. Herein we are describing a case of iniencephaly who presented at 27 weeks of gestation with a brief review of literature.

scholarly journals A giant cholesteatoma of the mastoid extending into the foramen magnum: A case report and review of literature

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Seidu A Richard ◽  
Li Qiang ◽  
Zhi Gang Lan ◽  
Yuekang Zhang ◽  
Chao You
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Squamous Epithelium ◽  
Conductive Hearing Loss ◽  
Foramen Magnum ◽  
Imaging Findings ◽  
Review Of Literature ◽  
Resonance Imaging ◽  
Temporal Bones ◽  
Conductive Hearing

Cholesteatomas are very rare benign, progressive lesions that have embryologic derivation and usually result in progressive exfoliation and confinement of squamous epithelium behind an intact or preciously infected tympanic membrane. To the best of our understanding no reports demonstrates the extension of cholesteatoma from the temporal bone into the foramen magnum. We therefore present a case of cholesteatoma extending down into the foramen magnum. We report a case of 67- year-old man with a giant cholesteatoma extending into the foramen magnum without substantial destruction of the mastoid and petrous temporal bones. The patient’s major symptoms were recurrent tinnitus in the left ear and dizziness with unilateral conductive hearing loss. A working diagnosis of cholesteatomas was made combining the symptoms and magnetic resonance imaging findings. He was then successfully operated on with very minimal postoperative complications. Cholesteatomas originating from the mastoid bone often linger with the patients for many years in a subclinical state and progress into a massive size before causing symptoms. Patients with unilateral conductive hearing loss who are otherwise asymptomatic and have a normal tympanic membrane should be suspected with a progressive cholesteatoma. Cholesteatoma should be one of the working diagnosis when an elderly patient present with unilateral conductive hearing loss that is associated with tinnitus and dizziness.

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