{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:21:09Z","timestamp":1790662869543,"version":"4.1.0"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":50,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100024990","name":"National Yang Ming Chiao Tung University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100024990","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surgical management of ventral foramen magnum meningiomas (FMMs) is challenging due to intervening neurovascular structures. The endoscopic endonasal transclival approach provides a direct access, offering a potential route to achieve Simpson Grade 1 resection while minimizing brainstem retraction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We detail the technical nuances of a binostril, four-handed EEA for a ventral FMM. We explain the key anatomical landmarks required for safe decompression, including clival drilling limits, the identification of pre-medullary neurovascular structures, and the execution of a multilayered reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The EEA is a safe alternative for ventral FMMs in cases without significant lateral or caudal extension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00701-026-06941-0","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T15:57:37Z","timestamp":1781193457000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["How I do it: endoscopic endonasal transclival resection of ventral foramen magnum meningioma"],"prefix":"10.1007","volume":"168","author":[{"given":"Yen-Yu","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien-Fu","family":"Yeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming-Ying","family":"Lan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Hsin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"issue":"1","key":"6941_CR1","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1007\/s10143-007-0097-1","volume":"31","author":"M Bruneau","year":"2008","unstructured":"Bruneau M, George B (2008) Foramen magnum meningiomas: detailed surgical approaches and technical aspects at Lariboisi\u00e8re Hospital and review of the literature. Neurosurg Rev 31(1):19\u201332. https:\/\/doi.org\/10.1007\/s10143-007-0097-1","journal-title":"Neurosurg Rev"},{"key":"6941_CR2","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/s0090-3019(96)00204-2","volume":"47","author":"B George","year":"1997","unstructured":"George B, Lot G, Boissonnet H (1997) Meningioma of the Foramen Magnum: a series of 40 cases. Surg Neurol 47:371\u2013379. https:\/\/doi.org\/10.1016\/s0090-3019(96)00204-2","journal-title":"Surg Neurol"},{"key":"6941_CR3","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1093\/ons\/opx160","volume":"14","author":"N Khattar","year":"2018","unstructured":"Khattar N, Koutourousiou M, Chabot JD, Wang EW, Cohen-Gadol AA, Snyderman CH, Fernandez-Miranda JC, Gardner PA (2018) Endoscopic endonasal and transcranial surgery for microsurgical resection of ventral Foramen Magnum meningiomas: a preliminary experience. Oper Neurosurg 14:503\u2013514. https:\/\/doi.org\/10.1093\/ons\/opx160","journal-title":"Oper Neurosurg"},{"key":"6941_CR4","doi-asserted-by":"publisher","first-page":"359","DOI":"10.3171\/2013.12.Jns13756","volume":"121","author":"M Koutourousiou","year":"2014","unstructured":"Koutourousiou M, Filho FV, Costacou T, Fernandez-Miranda JC, Wang EW, Snyderman CH, Rothfus WE, Gardner PA (2014) Pontine encephalocele and abnormalities of the Posterior Fossa following transclival endoscopic endonasal surgery. J Neurosurg 121:359\u2013366. https:\/\/doi.org\/10.3171\/2013.12.Jns13756","journal-title":"J Neurosurg"},{"key":"6941_CR5","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1227\/01.Neu.0000369926.01891.5d","volume":"66","author":"VA Morera","year":"2010","unstructured":"Morera VA, Fernandez-Miranda JC, Prevedello DM, Madhok R, Barges-Coll J, Gardner P, Carrau R, Snyderman CH, Rhoton AL Jr., Kassam AB (2010) Far-medial\" expanded endonasal approach to the inferior third of the clivus: the transcondylar and transjugular tubercle approaches. Neurosurgery 66:211\u2013219. https:\/\/doi.org\/10.1227\/01.Neu.0000369926.01891.5d","journal-title":"Neurosurgery"},{"key":"6941_CR6","doi-asserted-by":"publisher","first-page":"5","DOI":"10.17116\/neiro20178145-16","volume":"81","author":"AN Shkarubo","year":"2017","unstructured":"Shkarubo AN, Koval KV, Dobrovol\u2019skiy GF, Shkarubo MA, Karnaukhov VV, Kadashev BA, Andreev DN, Chernov IV, Gadzhieva OA, Aleshkina OY, Anisimova EA, Kalinin PL, Kutin MA, Fomichev DV, Sharipov OI, Ismailov DB, Selivanov ES (2017) [Extended endoscopic endonasal posterior (transclival) approach to tumors of the clival region and ventral posterior cranial fossa. Part 1. Topographic and anatomical features of the clivus and adjacent structures]. Zh Vopr Neirokhir Im N N Burdenko 81:5\u201316. https:\/\/doi.org\/10.17116\/neiro20178145-16","journal-title":"Zh Vopr Neirokhir Im N N Burdenko"},{"key":"6941_CR7","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1227\/neu.0000000000001102","volume":"12","author":"WH Wang","year":"2016","unstructured":"Wang WH, Abhinav K, Wang E, Snyderman C, Gardner PA, Fernandez-Miranda JC (2016) Endoscopic endonasal transclival transcondylar approach for foramen magnum meningiomas: surgical anatomy and technical note. Oper Neurosurg 12:153\u2013162. https:\/\/doi.org\/10.1227\/neu.0000000000001102","journal-title":"Oper Neurosurg"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-026-06941-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06941-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06941-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:08:10Z","timestamp":1785478090000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-026-06941-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,11]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6941"],"URL":"https:\/\/doi.org\/10.1007\/s00701-026-06941-0","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,11]]},"assertion":[{"value":"27 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"187"}}