{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T17:17:57Z","timestamp":1794244677607,"version":"4.9.0"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T00:00:00Z","timestamp":1620604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T00:00:00Z","timestamp":1620604800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Neurooncol"],"published-print":{"date-parts":[[2021,6]]},"DOI":"10.1007\/s11060-021-03773-z","type":"journal-article","created":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T18:04:23Z","timestamp":1620669863000},"page":"331-342","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Microsurgical resection of foramen magnum meningioma: multi-institutional retrospective case series and proposed surgical risk scoring system"],"prefix":"10.1007","volume":"153","author":[{"given":"Nida","family":"Fatima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John H.","family":"Shin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William T.","family":"Curry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2426-2884","authenticated-orcid":false,"given":"Antonio","family":"Meola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,10]]},"reference":[{"key":"3773_CR1","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2000.92.1.0071","author":"KI Arnautovi\u0107","year":"2000","unstructured":"Arnautovi\u0107 KI, Al-Mefty O, Husain M (2000) Ventral foramen magnum meningiomas. J Neurosurg. https:\/\/doi.org\/10.3171\/spi.2000.92.1.0071","journal-title":"J Neurosurg"},{"key":"3773_CR2","first-page":"1","volume":"104","author":"F Castellano","year":"1953","unstructured":"Castellano F, Ruggiero G (1953) Meningiomas of the posterior fossa. Acta Radiol Suppl 104:1\u201357","journal-title":"Acta Radiol Suppl"},{"key":"3773_CR3","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1997.86.2.0252","author":"KI Arnautovi\u0107","year":"1997","unstructured":"Arnautovi\u0107 KI, Al-Mefty O, Pait TG et al (1997) The suboccipital cavernous sinus. J Neurosurg. https:\/\/doi.org\/10.3171\/jns.1997.86.2.0252","journal-title":"J Neurosurg"},{"key":"3773_CR4","first-page":"467","volume":"44","author":"CA David","year":"1997","unstructured":"David CA, Spetzler RF (1997) Foramen magnum meningiomas. Clin Neurosurg 44:467\u201389","journal-title":"Clin Neurosurg"},{"key":"3773_CR5","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198706000-00026","author":"E Miller","year":"1987","unstructured":"Miller E, Crockard HA (1987) Transoral transclival removal of anteriorly placed meningiomas at the foramen magnum. Neurosurgery. https:\/\/doi.org\/10.1227\/00006123-198706000-00026","journal-title":"Neurosurgery"},{"key":"3773_CR6","doi-asserted-by":"publisher","DOI":"10.1093\/ons\/opx160","author":"N Khattar","year":"2018","unstructured":"Khattar N, Koutourousiou M, Chabot JD et al (2018) endoscopic endonasal and transcranial surgery for microsurgical resection of ventral foramen magnum meningiomas: a preliminary experience. Oper Neurosurg (Hagerstown, Md). https:\/\/doi.org\/10.1093\/ons\/opx160","journal-title":"Oper Neurosurg (Hagerstown, Md)"},{"key":"3773_CR7","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1966.24.2.0544","author":"GC Stevenson","year":"1966","unstructured":"Stevenson GC, Stoney RJ, Perkins RK, Adams JE (1966) A transcervical transclival approach to the ventral surface of the brain stem for removal of a clivus chordoma. J Neurosurg. https:\/\/doi.org\/10.3171\/jns.1966.24.2.0544","journal-title":"J Neurosurg"},{"key":"3773_CR8","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-7091-6954-4_3","author":"B Guidetti","year":"1980","unstructured":"Guidetti B, Spallone A (1980) Benign extramedullary tumors of the foramen magnum. Surg Neurol. https:\/\/doi.org\/10.1007\/978-3-7091-6954-4_3","journal-title":"Surg Neurol"},{"key":"3773_CR9","doi-asserted-by":"publisher","DOI":"10.3171\/spi.1999.90.2.0206","author":"E Salas","year":"1999","unstructured":"Salas E, Sekhar LN, Ziyal IM et al (1999) Variations of the extreme-lateral craniocervical approach: anatomical study and clinical analysis of 69 patients. J Neurosurg. https:\/\/doi.org\/10.3171\/spi.1999.90.2.0206","journal-title":"J Neurosurg"},{"key":"3773_CR10","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-007-0097-1","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. https:\/\/doi.org\/10.1007\/s10143-007-0097-1","journal-title":"Neurosurg Rev"},{"key":"3773_CR11","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2013.11.023","author":"M Bydon","year":"2014","unstructured":"Bydon M, Martin Ma T, Xu R et al (2014) Surgical outcomes of craniocervial junction meningiomas: a series of 22 consecutive patients. Clin Neurol Neurosurg. https:\/\/doi.org\/10.1016\/j.clineuro.2013.11.023","journal-title":"Clin Neurol Neurosurg"},{"key":"3773_CR12","doi-asserted-by":"publisher","DOI":"10.1080\/02688690701765524","author":"K Koc","year":"2008","unstructured":"Koc K, Anik I, Cabuk B, Ceylan S (2008) Fluorescein sodium-guided surgery in glioblastoma multiforme: a prospective evaluation. Br J Neurosurg. https:\/\/doi.org\/10.1080\/02688690701765524","journal-title":"Br J Neurosurg"},{"issue":"6","key":"3773_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/foc.2003.14.6.10","volume":"14","author":"MR Boulton","year":"2003","unstructured":"Boulton MR, Cusimano MD (2003) Foramen magnum meningiomas: concepts, classifications, and nuances. Neurosurg Focus 14(6):1\u20138","journal-title":"Neurosurg Focus"},{"key":"3773_CR14","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000176848.05925.80","author":"G Lanzino","year":"2005","unstructured":"Lanzino G, Paolini S, Spetzler RF (2005) Far-lateral approach to the craniocervical junction. Neurosurgery. https:\/\/doi.org\/10.1227\/01.NEU.0000176848.05925.80","journal-title":"Neurosurgery"},{"key":"3773_CR15","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1986.64.4.0559","author":"RC Heros","year":"1986","unstructured":"Heros RC (1986) Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions. J Neurosurg. https:\/\/doi.org\/10.3171\/jns.1986.64.4.0559","journal-title":"J Neurosurg"},{"key":"3773_CR16","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.42.472","author":"EA Marin Sanabria","year":"2002","unstructured":"Marin Sanabria EA, Ehara K, Tamaki N et al (2002) Surgical experience with skull base approaches for foramen magnum meningioma. Neurol Med Chir (Tokyo). https:\/\/doi.org\/10.2176\/nmc.42.472","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"3773_CR17","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1055\/s-2008-1058945","volume":"5","author":"B George","year":"1995","unstructured":"George B, Lot G, Sen C (1995) Anterolateral and posterolateral approaches to the foramen magnum: Technical description and experience from 97 cases. Skull Base Surg 5:9\u201319","journal-title":"Skull Base Surg"},{"key":"3773_CR18","first-page":"591","volume-title":"Master techniques in otolaryngology head and neck surgery skull base surgery","author":"WT Couldwell","year":"2015","unstructured":"Couldwell WT (2015) Far lateral transcervical approach to the lower clivus and upper cervical spine. In: Snyderman C, Gardner P (eds) Master techniques in otolaryngology head and neck surgery skull base surgery. Wolters Kluwer, Philadelphia, pp 591\u2013604"},{"key":"3773_CR19","doi-asserted-by":"publisher","DOI":"10.1080\/02688690902814725","author":"N Barut","year":"2009","unstructured":"Barut N, Kale A, Suslu HT et al (2009) Evaluation of the bony landmarks in transcondylar approach. Br J Neurosurg. https:\/\/doi.org\/10.1080\/02688690902814725","journal-title":"Br J Neurosurg"},{"key":"3773_CR20","doi-asserted-by":"publisher","DOI":"10.1016\/0303-8467(94)90115-5","author":"N Akalan","year":"1994","unstructured":"Akalan N, Se\u00e7kin H, Kili\u00e7 C, \u00d6zgen T (1994) Benign extramedullary tumors in the foramen magnum region. Clin Neurol Neurosurg. https:\/\/doi.org\/10.1016\/0303-8467(94)90115-5","journal-title":"Clin Neurol Neurosurg"},{"key":"3773_CR21","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1376371","author":"SY Yang","year":"2014","unstructured":"Yang SY, Boniello AJ, Poorman CE et al (2014) A review of the diagnosis and treatment of atlantoaxial dislocations. Glob Spine J. https:\/\/doi.org\/10.1055\/s-0034-1376371","journal-title":"Glob Spine J"},{"key":"3773_CR22","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200009001-00020","author":"J Rhoton","year":"2000","unstructured":"Rhoton J (2000) The far-lateral approach and its transcondylar, supracondylar, and paracondylar extensions. Neurosurgery. https:\/\/doi.org\/10.1097\/00006123-200009001-00020","journal-title":"Neurosurgery"},{"key":"3773_CR23","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1998.88.4.0634","author":"NM Wright","year":"1998","unstructured":"Wright NM, Lauryssen C (1998) Vertebral artery injury in C1\u20132 transarticular screw fixation: results of a survey of the AANS\/CNS section on disorders of the spine and peripheral nerves. J Neurosurg. https:\/\/doi.org\/10.3171\/jns.1998.88.4.0634","journal-title":"J Neurosurg"},{"key":"3773_CR24","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000430324.24623.10","author":"D Choi","year":"2013","unstructured":"Choi D, Crockard HA (2013) Evolution of transoral surgery: three decades of change in patients, pathologies, and indications. Neurosurgery. https:\/\/doi.org\/10.1227\/01.neu.0000430324.24623.10","journal-title":"Neurosurgery"},{"issue":"5","key":"3773_CR25","first-page":"321","volume":"67","author":"HA Crockard","year":"1985","unstructured":"Crockard HA (1985) The transoral approach to the base of the brain and upper cervical cord. Ann R Coll Surg Engl 67(5):321","journal-title":"Ann R Coll Surg Engl"},{"key":"3773_CR26","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1996.84.4.0573","author":"GF Tuite","year":"1996","unstructured":"Tuite GF, Veres R, Crockard HA, Sell D (1996) Pediatric transoral surgery: indications, complications, and long-term outcome. J Neurosurg. https:\/\/doi.org\/10.3171\/jns.1996.84.4.0573","journal-title":"J Neurosurg"},{"key":"3773_CR27","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1654702","author":"ST Magill","year":"2018","unstructured":"Magill ST, Shahin MN, Lucas CHG et al (2018) Surgical Outcomes, Complications, and management strategies for foramen magnum meningiomas. J Neurol Surg Part B Skull Base. https:\/\/doi.org\/10.1055\/s-0038-1654702","journal-title":"J Neurol Surg Part B Skull Base"},{"key":"3773_CR28","doi-asserted-by":"publisher","DOI":"10.3171\/2017.3.JNS163008","author":"GU Mehta","year":"2018","unstructured":"Mehta GU, Zenonos G, Patibandla MR et al (2018) Outcomes of stereotactic radiosurgery for foramen magnum meningiomas: an international multicenter study. J Neurosurg. https:\/\/doi.org\/10.3171\/2017.3.JNS163008","journal-title":"J Neurosurg"},{"key":"3773_CR29","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000156796.28536.6D","author":"NS Margalit","year":"2005","unstructured":"Margalit NS, Lesser JB, Singer M, Sen C (2005) Lateral approach to anterolateral tumors at the foramen magnum: factors determining surgical procedure. Neurosurgery. https:\/\/doi.org\/10.1227\/01.NEU.0000156796.28536.6D","journal-title":"Neurosurgery"},{"issue":"3","key":"3773_CR30","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1007\/s10143-012-0381-6","volume":"35","author":"A Talacchi","year":"2012","unstructured":"Talacchi A, Biroli A, Soda C et al (2012) Surgical management of ventral and ventrolateral foramen magnum meningiomas: report on a 64-case series and review of the literature. Neurosurg Rev 35(3):359\u201368","journal-title":"Neurosurg Rev"},{"key":"3773_CR31","doi-asserted-by":"publisher","DOI":"10.3171\/2016.2.JNS152873","author":"D Li","year":"2017","unstructured":"Li D, Wu Z, Ren C et al (2017) Foramen magnum meningiomas: surgical results and risks predicting poor outcomes based on a modified classification. J Neurosurg. https:\/\/doi.org\/10.3171\/2016.2.JNS152873","journal-title":"J Neurosurg"},{"key":"3773_CR32","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-3019(96)00204-2","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. https:\/\/doi.org\/10.1016\/S0090-3019(96)00204-2","journal-title":"Surg Neurol"},{"key":"3773_CR33","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199612000-00003","author":"M Samii","year":"1996","unstructured":"Samii M, Klekamp J, Carvalho G (1996) Surgical results for meningiomas of the craniocervical junction. Neurosurgery. https:\/\/doi.org\/10.1097\/00006123-199612000-00003","journal-title":"Neurosurgery"},{"key":"3773_CR34","doi-asserted-by":"publisher","first-page":"2281","DOI":"10.1007\/s00701-013-1882-y","volume":"155","author":"FG Legnani","year":"2013","unstructured":"Legnani FG, Saladino A, Casali C et al (2013) Craniotomy vs. craniectomy for posterior fossa tumors: a prospective study to evaluate complications after surgery. Acta Neurochir (Wien) 155:2281\u20132286. https:\/\/doi.org\/10.1007\/s00701-013-1882-y","journal-title":"Acta Neurochir (Wien)"},{"key":"3773_CR35","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.wneu.2021.02.063","volume":"149","author":"FY Legninda Sop","year":"2021","unstructured":"Legninda Sop FY, D\u2019Ercole M, Izzo A et al (2021) The impact of neuronavigation on the surgical outcome of microvascular decompression for trigeminal neuralgia. World Neurosurg 149:80\u201385. https:\/\/doi.org\/10.1016\/j.wneu.2021.02.063","journal-title":"World Neurosurg"},{"key":"3773_CR36","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1055\/s-0034-1390396","volume":"76","author":"T Lau","year":"2015","unstructured":"Lau T, Reintjes S, Olivera R et al (2015) C-shaped incision for far-lateral suboccipital approach: anatomical study and clinical correlation. J Neurol Surg Part B Skull Base 76:117\u2013121. https:\/\/doi.org\/10.1055\/s-0034-1390396","journal-title":"J Neurol Surg Part B Skull Base"},{"key":"3773_CR37","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.946","author":"DR Felbaum","year":"2016","unstructured":"Felbaum DR, Mueller K, Anaizi A et al (2016) Preservation of the myofascial cuff during posterior fossa surgery to reduce the rate of pseudomeningocele formation and cerebrospinal fluid leak: a technical note. Cureus. https:\/\/doi.org\/10.7759\/cureus.946","journal-title":"Cureus"}],"container-title":["Journal of Neuro-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11060-021-03773-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11060-021-03773-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11060-021-03773-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T18:11:39Z","timestamp":1623953499000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11060-021-03773-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,10]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["3773"],"URL":"https:\/\/doi.org\/10.1007\/s11060-021-03773-z","relation":{},"ISSN":["0167-594X","1573-7373"],"issn-type":[{"value":"0167-594X","type":"print"},{"value":"1573-7373","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,10]]},"assertion":[{"value":"18 February 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"IRB Approved Stanford Health Care and Massachusetts General Hospital.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}