Foramen magnum meningiomas: To drill or not to drill the occipital condyle? A series of 12 patients
This patient is a 61-year-old male who developed spastic tetraparesis and occipital headaches during a 2-year period. MRI detected a tumor mass that occupied the spinal canal from the FM to C3 []. A cervical CT scan revealed a heavy calcified tumor []. The meningioma was completed removed through a suboccipital retrocondylar approach. We added removal of the posterior arch of C1 and laminectomy of C2 and C3. He did a very good recovery but could not retour for his former job as a carpenter due to the lack of normal sensation in both hands. Postoperative MRI detected a stable small residue that has been following for 5 years, without any change [].