Presentation and management of hydromyelia in children with Chiari type-II malformation

Pediatric Neurosurgery
F La MarcaD G McLone

Abstract

Hydromyelia in patients with myelomeningocele and Chiari-II malformation is a relatively frequent finding on MRI studies. However, not all children develop symptoms from the hydromyelia that requires treatment. Furthermore, treatment of hydromyelia in spina bifida patients is rather complex due to the associated malformations. The authors retrospectively analyzed 231 MRI studies carried out on spina bifida patients who presented neurological deterioration. Hydromyelia was found in 48.5% of the patients. Forty-five children with severe hydromyelia required treatment. These patients were first divided into 2 groups: those with holocord hydromyelia, and those with a segmental lesion. Fifteen patients presented symptoms characteristic of symptomatic Chiari-II malformation: neck rigidity; swallowing difficulty; pain in the upper extremeties; weakness or spasticity in the upper extremeties. Eighteen patients presented symptoms typical of the tethered cord syndrome: scoliosis; worsening bladder and/or bowel function; pain in the lower extremeties; weakness or spasticity in the lower extremeties. Twelve patients presented a mixed-type symptomatology. These patients subsequently underwent posterior cervical decompression, tethered cord ...Continue Reading

Citations

Feb 8, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·S Hassan A AkbariTae Sung Park
Sep 10, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Martina Messing-Jünger, Andreas Röhrig
Sep 10, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Vasilios Tsitouras, Spyros Sgouros
Dec 8, 1998·Surgical Neurology·M CaldarelliF La Marca
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Jul 3, 2003·Spine·Remzi A OzerdemogluEnsor E Transfeldt
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Nov 1, 2002·Current Opinion in Urology·Wolfgang WagnerAxel Perneczky
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Sep 28, 2018·Journal of Neurosurgical Sciences·Peter Spazzapan, Tomaž Velnar

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