Acta Neurochirurgica

, Volume 157, Issue 5, pp 869–873 | Cite as

The suboccipital midline approach to foramen magnum meningiomas

  • Alessandro Della PuppaEmail author
  • Oriela Rustemi
  • Renato Scienza
How I Do it - Neurosurgical Techniques



Anterior and anterolateral meningiomas of the foramen magnum (FM) can be resected either through extensive skull base approaches or through the classical suboccipital midline approach with limited bone removal.


This paper describes the suboccipital midline approach focusing on some peculiar technical features that serve to achieve the necessary space for safe resection of these challenging tumors.


In our experience, by adopting appropriate strategies to gain space (some of them natural, others acquired) the suboccipital midline approach can achieve the safe resection of anterior and anterolateral FM meningiomas in the majority of cases.


Foramen magnum meningiomas Posterior-fossa meningiomas Clival meningiomas Cranio-cervical junction surgery 


Conflict of interest


Supplementary material


(WMV 26340 kb)


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Copyright information

© Springer-Verlag Wien 2015

Authors and Affiliations

  • Alessandro Della Puppa
    • 1
    • 2
    Email author
  • Oriela Rustemi
    • 1
  • Renato Scienza
    • 1
  1. 1.Department of NeurosurgeryUniversity Hospital of PadovaPadovaItaly
  2. 2.Department of NeurosurgeryPadua University HospitalPadovaItaly

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