Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
SURGICAL-TREATMENT OF LATE NEUROLOGICAL DETERIORATION IN CHILDREN WITH MYELODYSPLASIA
Autore:
CALDARELLI M; DIROCCO C; COLOSIMO C; FARIELLO G; DIGENNARO M;
Indirizzi:
CATHOLIC UNIV SACRED HEART,SCH MED,INST NEUROSURG,LARGO A GEMELLI 8 I-00168 ROME ITALY CATHOLIC UNIV SACRED HEART,SCH MED,DEPT NEUROSURG,PAEDIAT NEUROSURG SECT I-00168 ROME ITALY CATHOLIC UNIV SACRED HEART,SCH MED,DEPT RADIOL I-00168 ROME ITALY BAMBINO GESU PEDIAT HOSP,DEPT RADIOL ROME ITALY BAMBINO GESU PEDIAT HOSP,DEPT UROL ROME ITALY
Titolo Testata:
Acta neurochirurgica
fascicolo: 3-4, volume: 137, anno: 1995,
pagine: 199 - 206
SICI:
0001-6268(1995)137:3-4<199:SOLNDI>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
TETHERED-CORD SYNDROME; SPINAL-CORD; PATHO-PHYSIOLOGY; INITIAL REPAIR; BLOOD-FLOW; MENINGOMYELOCELE; DYSRAPHISM; CATS; LIPOMYELOMENINGOCELE; SURGERY;
Keywords:
TETHERED SPINAL CORD; SPINAL DYSRAPHISM; MAGNETIC RESONANCE IMAGING; POST-REPAIR MYELOMENINGOCELE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
32
Recensione:
Indirizzi per estratti:
Citazione:
M. Caldarelli et al., "SURGICAL-TREATMENT OF LATE NEUROLOGICAL DETERIORATION IN CHILDREN WITH MYELODYSPLASIA", Acta neurochirurgica, 137(3-4), 1995, pp. 199-206

Abstract

Late deterioration of the neurological condition in patients operatedon for myelomeningocele repair has been repeatedly reported in the literature. At the present time magnetic resonance imaging(MRI) allows one to recognize various pathological conditions which can be amenable to surgical correction in these patients, such as Chiari type II malformation, hydro/syringomyelia, decompensated hydrocephalus, and tethered spinal cord. The authors report their experience with 26 myelodysplastic children operated on for myelomeningocele repair in the early neonatal period,who exhibited late deterioration at variable time intervals from the first operation. The children were examined pre-operatively by means of MRI; the results were compared with those provided by MRI in 46 myelodysplastic children who underwent the investigation as a routine follow-up control. The MRI findings were subdivided into 4 main groups of increasing severity from 1 to 4; in some subjects, associated pathological conditions (Chiari II malformation, hydromyelia, etc.) were detected as well. Twenty-two out of the 26 patients with late neurological deterioration were operated on. Eleven of them (grades 2 to 4) underwent detethering of the fixed conus, with an improvement of their clinical picture from mild to good. On the other hand the remaining 11 subjects (grades 1 to 2) improved their condition following thecorrection of the associated abnormalities (malfunctioning CSF shunt:5 cases; hydromyelia: 4 cases; symptomatic Chiari II malformation: 2 cases).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 20:18:35