Left Far Lateral Transcondylar Approach for Resection of A Ventral Foramen Magnum Meningioma

Journal of Neurological Surgery Part B Skull Base 2026

View at publisher
Authors: Vera Vigo, Yuanzhi Xu, Byron Hontiveros, Jonhatan Lamano, Collin Liu, Vladimir A. Ljubimov, Juan Carlos Fernandez-Miranda
DOI: 10.1055/s-0046-1819520
Cited by: 0

Abstract

We present a complex case of a ventral foramen magnum meningioma resected via a left far lateral approach. The patient had progressive tumor growth with severe brainstem compression but minimal symptoms aside from neck pain. Surgical challenges included a fibrotic, firm tumor, encasement of the vertebral artery at its dural entry point, and a rare variant with a proximally arising PICA draped over the tumor. Near-total resection was achieved with complete neurovascular preservation. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Meningioma and schwannoma management Neurosurgical Procedures and Complications Bone Tumor Diagnosis and Treatments

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN