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Meningiomas of the foramen magnum (MFM) are a neurosurgical challenge due to their central and deep location and also their close relationship with the vital vasculonerveous structures that pass through the occipital hole. We report a case of a 62 year old patient complaining about spastic hemiparesis, in whom the clinical exam and Magnetic Resonance Imaging concluded with foramen magnum’s meningioma which presented a therapeutic challenge for us.
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