Foramen magnum meningiomas: To drill or not to drill the occipital condyle? A series of 12 patients
A 54-year-old female presented with a history of a slow progressive severe tetraparesis for the past 3 years. She also developed hoarseness and difficulty in swallowing due to unilateral paralysis of the IX and X cranial nerves during this period. The CT scan showed a lesion located anteriorly in the FM compressing and displacing posteriorly the spinal medullary junction []. The meningioma was totally resected through a lateral suboccipital craniectomy without condylar drilling []. The patient made a GOS 4 recovery.