Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country

Objective: To analyze the clinical outcome of patients with foramen magnum (FM) meningiomas. Method: Thirteen patients (11 Feminine / 2 Masculine with FM meningiomas operated on through lateral suboccipital approach were studied. Clinical outcome were analyzed using survival (SC) and recurrence-...

Full description

Saved in:
Bibliographic Details
Main Authors: Benedicto Oscar Colli, Carlos Gilberto Carlotti Junior, João Alberto Assirati Junior, Luis Alencar Biurrum Borba, Vicente de Paulo Martins Coelho Junior, Luciano Neder
Format: Article
Language:English
Published: Thieme Revinter Publicações 2014-07-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000700528&lng=en&tlng=en
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850246073924190208
author Benedicto Oscar Colli
Carlos Gilberto Carlotti Junior
João Alberto Assirati Junior
Luis Alencar Biurrum Borba
Vicente de Paulo Martins Coelho Junior
Luciano Neder
author_facet Benedicto Oscar Colli
Carlos Gilberto Carlotti Junior
João Alberto Assirati Junior
Luis Alencar Biurrum Borba
Vicente de Paulo Martins Coelho Junior
Luciano Neder
author_sort Benedicto Oscar Colli
collection DOAJ
description Objective: To analyze the clinical outcome of patients with foramen magnum (FM) meningiomas. Method: Thirteen patients (11 Feminine / 2 Masculine with FM meningiomas operated on through lateral suboccipital approach were studied. Clinical outcome were analyzed using survival (SC) and recurrence-free survival curves (RFSC). Results: All tumors were World Health Organization grade I. Total, subtotal and partial resections were acchieved in 69.2%, 23.1% and 7.7%, respectively, and SC was better for males and RFSC for females. Tumor location, extent of resection and involvement of vertebral artery/lower cranial nerves did not influence SC and RFSC. Recurrence rate was 7.7%. Operative mortality was 0. Main complications were transient (38.5%) and permanent (7.7%) lower cranial nerve deficits, cerebrospinal fluid fistula (30.8%), and transient and permanent respiratory difficulties in 7.7% each. Conclusions: FM meningiomas can be adequately treated in public hospitals in developing countries if a multidisciplinary team is available for managing postoperative lower cranial nerve deficits.
format Article
id doaj-art-0f2129bc071a46c0bdbd7d4d1b81e9bd
institution OA Journals
issn 1678-4227
language English
publishDate 2014-07-01
publisher Thieme Revinter Publicações
record_format Article
series Arquivos de Neuro-Psiquiatria
spelling doaj-art-0f2129bc071a46c0bdbd7d4d1b81e9bd2025-08-20T01:59:17ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272014-07-0172752853710.1590/0004-282X20140101S0004-282X2014000700528Foramen magnum meningiomas: surgical treatment in a single public institution in a developing countryBenedicto Oscar ColliCarlos Gilberto Carlotti JuniorJoão Alberto Assirati JuniorLuis Alencar Biurrum BorbaVicente de Paulo Martins Coelho JuniorLuciano NederObjective: To analyze the clinical outcome of patients with foramen magnum (FM) meningiomas. Method: Thirteen patients (11 Feminine / 2 Masculine with FM meningiomas operated on through lateral suboccipital approach were studied. Clinical outcome were analyzed using survival (SC) and recurrence-free survival curves (RFSC). Results: All tumors were World Health Organization grade I. Total, subtotal and partial resections were acchieved in 69.2%, 23.1% and 7.7%, respectively, and SC was better for males and RFSC for females. Tumor location, extent of resection and involvement of vertebral artery/lower cranial nerves did not influence SC and RFSC. Recurrence rate was 7.7%. Operative mortality was 0. Main complications were transient (38.5%) and permanent (7.7%) lower cranial nerve deficits, cerebrospinal fluid fistula (30.8%), and transient and permanent respiratory difficulties in 7.7% each. Conclusions: FM meningiomas can be adequately treated in public hospitals in developing countries if a multidisciplinary team is available for managing postoperative lower cranial nerve deficits.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000700528&lng=en&tlng=enmeningiomas do forame magnotratamento cirúrgicoextensão da ressecçãosobrevidacomplicações pós-operatórias
spellingShingle Benedicto Oscar Colli
Carlos Gilberto Carlotti Junior
João Alberto Assirati Junior
Luis Alencar Biurrum Borba
Vicente de Paulo Martins Coelho Junior
Luciano Neder
Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country
Arquivos de Neuro-Psiquiatria
meningiomas do forame magno
tratamento cirúrgico
extensão da ressecção
sobrevida
complicações pós-operatórias
title Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country
title_full Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country
title_fullStr Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country
title_full_unstemmed Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country
title_short Foramen magnum meningiomas: surgical treatment in a single public institution in a developing country
title_sort foramen magnum meningiomas surgical treatment in a single public institution in a developing country
topic meningiomas do forame magno
tratamento cirúrgico
extensão da ressecção
sobrevida
complicações pós-operatórias
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000700528&lng=en&tlng=en
work_keys_str_mv AT benedictooscarcolli foramenmagnummeningiomassurgicaltreatmentinasinglepublicinstitutioninadevelopingcountry
AT carlosgilbertocarlottijunior foramenmagnummeningiomassurgicaltreatmentinasinglepublicinstitutioninadevelopingcountry
AT joaoalbertoassiratijunior foramenmagnummeningiomassurgicaltreatmentinasinglepublicinstitutioninadevelopingcountry
AT luisalencarbiurrumborba foramenmagnummeningiomassurgicaltreatmentinasinglepublicinstitutioninadevelopingcountry
AT vicentedepaulomartinscoelhojunior foramenmagnummeningiomassurgicaltreatmentinasinglepublicinstitutioninadevelopingcountry
AT lucianoneder foramenmagnummeningiomassurgicaltreatmentinasinglepublicinstitutioninadevelopingcountry