HYDROSYRINGOMYELIA-CHIARI-I COMPLEX - PROSPECTIVE EVALUATION OF A MODIFIED FORAMEN MAGNUM DECOMPRESSION PROCEDURE - PRELIMINARY-RESULTS

被引:38
作者
RAFTOPOULOS, C [1 ]
SANCHEZ, A [1 ]
MATOS, C [1 ]
BALERIAUX, D [1 ]
BANK, WO [1 ]
BROTCHI, J [1 ]
机构
[1] UNIV LIBRE BRUXELLES,HOP ERASME,DEPT RADIOL,B-1070 BRUSSELS,BELGIUM
来源
SURGICAL NEUROLOGY | 1993年 / 39卷 / 02期
关键词
CHIARI-I MALFORMATION; SYRINGOMYELIA; POSTERIOR FOSSA; MAGNETIC RESONANCE IMAGING;
D O I
10.1016/0090-3019(93)90097-K
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A modified foramen magnum decompression procedure, designed to respect the subarachnoid spaces as much as possible, was prospectively evaluated in eight consecutive patients with a progressive clinical syndrome related to hydrosyringomyelia-Chiari I complex. This evaluation included quantitative clinical and magnetic resonance follow-up of at least 1 year in the first six patients and 6 months for the last two. Magnetic resonance scans at 6 months or more confirmed a persistent reduction of the hydrosyringomyelic cavity in all cases, which was associated with obvious subjective improvement. All patients have maintained this improvement. The operative technique and methods of clinical and radiological follow-up are discussed.
引用
收藏
页码:163 / 169
页数:7
相关论文
共 22 条
[1]  
Aboulker J, 1979, NEUROCHIRURGIE S1, V25, P1
[2]  
BALL MJ, 1972, LANCET, V2, P799
[3]  
BARKOVICH A, 1986, AJNR, V7, P759
[5]  
Bertrand G, 1973, Clin Neurosurg, V20, P322
[6]   SYRINGOMYELIA AND ARACHNOIDITIS [J].
CAPLAN, LR ;
NOROHNA, AB ;
AMICO, LL .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1990, 53 (02) :106-113
[7]  
Chiari H, 1891, DMWDTSCH MED WOCHENS, V17, P1172
[8]   SYMPTOMATIC CHIARI MALFORMATIONS - AN ANALYSIS OF PRESENTATION, MANAGEMENT, AND LONG-TERM OUTCOME [J].
DYSTE, GN ;
MENEZES, AH ;
VANGILDER, JC .
JOURNAL OF NEUROSURGERY, 1989, 71 (02) :159-168
[9]   MANAGEMENT OF SYRINGOMYELIA ASSOCIATED WITH CHIARI MALFORMATION - COMPARATIVE-STUDY OF SYRINX SIZE AND SYMPTOMS BY MAGNETIC-RESONANCE-IMAGING [J].
FUJII, K ;
NATORI, Y ;
NAKAGAKI, H ;
FUKUI, M .
SURGICAL NEUROLOGY, 1991, 36 (04) :281-285
[10]   SYRINGOMYELIA - LONG-TERM RESULTS AFTER POSTERIOR-FOSSA DECOMPRESSION [J].
GARCIAURIA, J ;
LEUNDA, G ;
CARRILLO, R ;
BRAVO, G .
JOURNAL OF NEUROSURGERY, 1981, 54 (03) :380-383