The meningiomas are tumors of the central nervous system that represent around 14.3% to 19%, of them only 1.8% to 3.2% arise in the foramen magnum, for years the approach of this class of tumors entailed a great associated morbidity and mortality because the foramen magnum contains a series of critical anatomical and neurovascular structures, however with the progress of surgical techniques, the management of neurological anesthesia and the training of neurosurgeons with experience in skull base surgeries, it has been able to reverse these results and make surgery a safe alternative with low complication rates. The present work aims to review the literature about morbidity and mortality associated with meningiomas of foramen magnum and present a case addressed in our center.