Resection of Bilateral C1 Neurofibromas Using a Unilateral Modified Far-Lateral Approach

摘要

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.