Abstract

Resection of foramen magnum lesions through a lateral approach can be technically challenging. Surgical avenues to foramen magnum lesions include a suboccipital craniectomy with C1 laminectomy, a modified far lateral approach with little condylar drilling, or via an anterior approach. The authors report their surgical experience in the treatment of a 36-year-old male with bilateral C1 dumbbell neurofibromas using a unilateral modified far-lateral approach (no condylar drilling performed). The unilateral modified far-lateral approach allowed for an efficient and safe corridor to this patient’s bilateral foramen magnum tumors.

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