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@article{207331,
        author = {PRITEEKA TOPPO},
        title = {Foramen Magnum Meningioma in a Young Adult Female: A Case Study with Nursing Implications},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {13},
        number = {3},
        pages = {397-401},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=207331},
        abstract = {Background: Foramen magnum meningiomas (FMMs) are uncommon benign intracranial tumours that originate from the meninges surrounding the craniovertebral junction. They account for approximately 1.8–3.2% of all intracranial meningiomas and pose significant diagnostic and surgical challenges due to their proximity to the medulla oblongata, lower cranial nerves, vertebral arteries, and upper cervical spinal cord. Patients frequently present with nonspecific neurological manifestations, resulting in delayed diagnosis. Early recognition, accurate neuroimaging, meticulous microsurgical excision, and comprehensive perioperative nursing care are essential for achieving favourable neurological outcomes. [1]
Case Presentation: A 32-year-old married woman came in with a complaint of progressive neck pain that had been ongoing for six years, headache for two years, and acute vomiting, diplopia, progressive lower limb weakness, gait imbalance, and inability to walk for one week before admission. On examination, she was alert and oriented with normal vital signs, but with bilateral lower-limb weakness, decreased tendon reflexes, and diplopia. A CT cranial angiography showed a large posterior fossa mass that extends into the foramen magnum, typical of a vascular foramen magnum meningioma fed by the right posterior inferior cerebellar artery. The patient underwent a post-suboccipital craniotomy wherein a large tumour was successfully removed with a gross total resection. The patient was managed in the intensive care unit with post-operative interventions including ventilation, neurologic monitoring, analgesia, anticonvulsants, corticosteroids, antibiotics, feeding, and nursing.
Outcome: The patient's postoperative neurological condition progressively improved. She was successfully weaned from ventilatory support, gradually resumed oral intake, participated in early mobilization, and demonstrated stabilization of neurological status during hospitalization.
Conclusion: This case was educational because it demonstrated the importance of considering chronic symptoms of cervicomedullary dements as a warning sign for foramen meningioma. The timely intervention, including neuroimaging, multidisciplinary surgery, and nursing care, allowed for a successful outcome. The case also underlines the importance of early diagnosis to reduce neurological dysfunction and improve the patient’s quality of life following the surgery.},
        keywords = {Foramen magnum meningioma; posterior fossa tumour; craniovertebral junction; neurosurgery; case report; nursing care; craniotomy.},
        month = {August},
        }