Objective: The authors report the clinical, radiological, and surgical findings of patients with craniocervical junction tumors surgically treated in the institution over the last 8 years.
Material and Method: A retrospective study was performed. Clinical, radiological, and operative data were evaluated, and follow-up information was obtained from outpatient examinations, and telephone interviews.
Results: There were 25 patients consisting of nine chordomas, eight meningiomas, three cysts, two schwannomas, one each of aneurysmal bone cyst, plasmacytoma, and metastasis. Twenty-nine operative procedures were performed, classified as 12 anterior, nine posterior-lateral, and eight posterior approaches. Gross total removal was achieved in 17 cases, subtotal removal in six cases, and partial removal in two cases. Re-operation was performed in six cases. Median follow-up time was 31 months. The authors found significant improvement in Karnofsky Performance Scale scores.
Conclusion: Appropriate surgical approaches provide successful tumor removal with less surgical morbidities, nevertheless recurrent tumors occasionally occur, and so, long-term follow-up is mandatory.

Keywords: Craniocervical junction tumors, Foramen magnum, Chordoma, Meningioma, Surgical approach