title: Management of Foramen Magnum Meningioma During Pregnancy: Literature Review and Case Report.
abstract: BACKGROUND
  Foramen magnum meningiomas are very rare and challenging lesions. Their presentation in women during pregnancy tremendously complicates the course of gestation. Conservative management is always the first option, but in cases of a deteriorating clinical picture, there are currently no clear guidelines on best management.
  
  
  METHODS
  A woman presents in the 30th week of pregnancy with pain and progressive numbness in right posterior aspect of neck and right arm. Foramen magnum meningioma was diagnosed and successful surgical resection was performed with intraoperative fetal hearth monitoring and three fourths prone position of the patient.
  
  
  CONCLUSIONS
  We believe a three fourths prone position of a pregnant patient is safe and adequate for the far-lateral exposure of craniocervical lesions. Rapid growing of tumor can be precipitated by steroids management during pregnancy.
authors: School of Medicine, University of Las Palmas de Gran Canaria, Spain.
authors: Amanda M
authors: AM
authors: Casabella
authors: Department of Neurological Surgery, University of Miami, Miller School of Medicine, Miami, Florida, USA. Electronic address: timur.urakov@jhsmiami.org.
authors: Timur M
authors: TM
authors: Urakov
authors: Department of Neurological Surgery, University of Miami, Miller School of Medicine, Miami, Florida, USA.
authors: Gregory
authors: G
authors: Basil
authors: Department of Neurological Surgery, University of Miami, Miller School of Medicine, Miami, Florida, USA.
authors: Jacques J
authors: JJ
authors: Morcos
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000379:methods; D019468:Disease Management; D005260:Female; D005316:Fetal Distress / Q000175:diagnosis; D005539:Foramen Magnum / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007796:Laminectomy / Q000379:methods; D008577:Meningeal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008579:Meningioma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging / Q000601:surgery*; D019292:Skull Base Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Foramen magnum; Management; Meningioma; Positioning; Pregnancy; Pregnant