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
[11]  
Gardner W.J., 1959, CLIN NEUROSURG, P131, DOI 10.1093/neurosurgery/6.CN_suppl_1.131
[12]   HYDROSYRINGOMYELIA AND ITS MANAGEMENT IN CHILDHOOD [J].
HOFFMAN, HJ ;
NEILL, J ;
CRONE, KR ;
HENDRICK, EB ;
HUMPHREYS, RP .
NEUROSURGERY, 1987, 21 (03) :347-351
[13]   CHIARI MALFORMATION PRESENTING IN ADULTS - A SURGICAL EXPERIENCE IN 127 CASES [J].
LEVY, WJ ;
MASON, L ;
HAHN, JF .
NEUROSURGERY, 1983, 12 (04) :377-390
[14]   ARNOLD-CHIARI MALFORMATION - REVIEW OF 71 CASES [J].
PAUL, KS ;
LYE, RH ;
STRANG, FA ;
DUTTON, J .
JOURNAL OF NEUROSURGERY, 1983, 58 (02) :183-187
[15]   SYMPTOMATIC CHIARI MALFORMATION IN ADULTS - A NEW CLASSIFICATION BASED ON MAGNETIC-RESONANCE-IMAGING WITH CLINICAL AND PROGNOSTIC-SIGNIFICANCE [J].
PILLAY, PK ;
AWAD, IA ;
LITTLE, JR ;
HAHN, JF .
NEUROSURGERY, 1991, 28 (05) :639-645
[16]   MICROSURGERY OF ARNOLD-CHIARI MALFORMATION IN ADULTS WITH AND WITHOUT HYDROMYELIA [J].
RHOTON, AL .
JOURNAL OF NEUROSURGERY, 1976, 45 (05) :473-483
[17]   EXPERIENCE WITH ARNOLD-CHIARI MALFORMATION, 1960 TO 1970 [J].
SAEZ, RJ ;
ONOFRIO, BM ;
YANAGIHARA, T .
JOURNAL OF NEUROSURGERY, 1976, 45 (04) :416-422
[18]   ANOTHER THEORY OF ETIOLOGY OF SYRINGOMYELIC CAVITY [J].
TAYLOR, AR .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1975, 38 (08) :825-825
[19]   SYRINGOMYELIA-CHIARI COMPLEX - MAGNETIC-RESONANCE-IMAGING AND CLINICAL-EVALUATION OF SURGICAL-TREATMENT [J].
VAQUERO, J ;
MARTINEZ, R ;
ARIAS, A .
JOURNAL OF NEUROSURGERY, 1990, 73 (01) :64-68
[20]   CRITICAL APPRAISAL OF POSTERIOR-FOSSA SURGERY FOR COMMUNICATING SYRINGOMYELIA [J].
WILLIAMS, B .
BRAIN, 1978, 101 (JUN) :223-250