Resolution of syringomyelia in ten cases of "up-and-down Chiari malformation" after posterior fossa decompression

The authors describe ten cases of syringomyelia without hindbrain herniation depicted by preoperative magnetic resonance imaging (MRI) in supine position. However, the herniation was observed in all cases during the operation with the patient in sitting position. The postoperative MRI revealed an intense reduction of the syrinx in all patients, as well as it was also observed a clinical amelioration in all cases. The surgical treatment was based on a large craniectomy with the patient in sitting position, tonsillectomy, large opening of the fourth ventricle and duraplasty with creation of a large cisterna magna.

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Bibliographic Details
Main Authors: Silva,José Alberto Gonçalves da, Melo,Luiz Ricardo Santiago, Araújo,Antônio Fernandes de, Santos Jr,Adailton Arcanjo dos
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2010
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000500004
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