PMID: 8608577Nov 1, 1995Paper

Posterior fossa decompression for Chiari I deformity, including resection of the cerebellar tonsils

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
E G Fischer

Abstract

This is an analysis of 19 consecutive cases of symptomatic patients with Chiari I deformities, undertaken to evaluate the long-term effect of posterior fossa decompression and duraplasty, assessed by postoperative imaging. Sixteen of the patients had syringomyelia and three had foramen magnum syndromes without a syrinx. Eighteen patients underwent posterior fossa craniectomy, subpial resection of the cerebellar tonsils, and duraplasty. Four patients were 16 years of age or younger. One of the children with syringomyelia had a posterior fossa decompression without resection of the tonsils. In the 15 patients with syringomyelia whose surgery included resection of the tonsils, the syrinx was reduced or resolved in 14. The patient whose syrinx did not change was a child with a lumbosacral lipoma. Three patients had syndromes of the foramen magnum without a syrinx, and of these only a patient with prior chemical and bacterial meningitis caused by a lumboureteral shunt failed to improve dramatically. When our patients are combined with 40 in the literature treated by decompression and duraplasty, 51 of 55 patients had reduction or resolution of the syrinx. Although it does not clearly affect the result, resection of the tonsils can b...Continue Reading

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Citations

Jan 26, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Marcelo GalarzaSteven Ham
Jul 20, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·R Shane TubbsW Jerry Oakes
Sep 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Frank J AttenelloGeorge I Jallo
Oct 5, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Todd HankinsonJohn C Wellons
Sep 6, 2007·Pediatric Neurosurgery·Fuyou GuoLaijun Song
Apr 23, 2005·Journal of the American Veterinary Medical Association·Satoshi TakagiToru Fujinaga
Dec 3, 2010·Journal of Neurosurgery. Spine·John D HeissEdward H Oldfield
Aug 3, 2011·Journal of Neurosurgery. Pediatrics·Stephen R ParkerGerald Grant
May 15, 2013·Journal of Neurosurgery·Kenan I ArnautovicFrederick A Boop
May 27, 2006·Neurosurgical Focus·T D AldenT S Park
Jun 3, 1998·Journal of Neurosurgery·A GoelK Desai
Nov 27, 2002·Journal of Neurosurgery·Jorge A LazareffTheodore J Spinks
Mar 17, 2010·Neurology India·Prasad VannemreddyBharat Guthikonda
Dec 14, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·G PaternosterC Di Rocco
May 23, 2013·Acta neurochirurgica·Marcelo GalarzaJuan F Martínez-Lage
Jul 10, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Samuel KalbRuth E Bristol
Nov 29, 2011·World Neurosurgery·Rafael Augusto Castro Santiago BrandãoAtos Alves de Sousa
Sep 1, 2015·Journal of Neurosurgery. Pediatrics·Benjamin C KennedyRichard C E Anderson
May 2, 2015·Journal of Neurosurgery. Pediatrics·Benjamin C KennedyNeil A Feldstein
Jun 9, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Rachid AssinaJames K Liu
Oct 27, 2015·AJR. American Journal of Roentgenology·Michael RozenfeldDaniel Thomas Ginat
Jul 1, 2017·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·A V SanakoevaYu V Kushel'
Aug 12, 2020·Neurosurgery·Jacques Lara-ReynaJeffrey P Greenfield
Jul 29, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·H AlexanderRobert F Keating
Aug 22, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jacques Lara-ReynaJeffrey P Greenfield
Dec 7, 2019·Neurosurgical Review·Michael G Z Ghali
May 27, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Samuel ButenskyMark Mittler

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