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Titolo:
SURGICAL INDICATION AND RESULTS OF FORAMEN MAGNUM DECOMPRESSION VERSUS SYRINGOSUBARACHNOID SHUNTING FOR SYRINGOMYELIA ASSOCIATED WITH CHIARI-I MALFORMATION
Autore:
HIDA K; IWASAKI Y; KOYANAGI I; SAWAMURA Y; ABE H;
Indirizzi:
HOKKAIDO UNIV,SCH MED,DEPT NEUROSURG,KITA KU,N 15 W 7 SAPPORO HOKKAIDO 060 JAPAN
Titolo Testata:
Neurosurgery
fascicolo: 4, volume: 37, anno: 1995,
pagine: 673 - 678
SICI:
0148-396X(1995)37:4<673:SIAROF>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
THECOPERITONEAL SHUNT; MANAGEMENT; COMPLEX; ADULTS;
Keywords:
CHIARI MALFORMATION; FORAMEN MAGNUM DECOMPRESSION; SYRINGOMYELIA; SYRINGOSUBARACHNOID SHUNT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
K. Hida et al., "SURGICAL INDICATION AND RESULTS OF FORAMEN MAGNUM DECOMPRESSION VERSUS SYRINGOSUBARACHNOID SHUNTING FOR SYRINGOMYELIA ASSOCIATED WITH CHIARI-I MALFORMATION", Neurosurgery, 37(4), 1995, pp. 673-678

Abstract

SEVERAL SURGICAL PROCEDURES have been used for the treatment of syringomyelia associated with Chiari I malformation at our institute. The purpose of this article is to evaluate the results of two major surgical procedures, foramen magnum decompression (FMD) and syringosubarachnoid (SS) shunting. The series consisted of 70 patients with syringomyelia associated with Chiari I malformation who were surgically treated. Their ages ranged from 3 to 59 years (median, 29.4 yr). FMD was performed on 33 patients, and SS shunting was performed on 37 patients. The follow-up period ranged from 6 months to 12.5 years, with a mean of 60months. The clinical and radiological outcomes were analyzed comparing the two groups. We principally performed FMD in patients with symptoms of Chiari malformation and/or a small syrinx. We prefer to use SS shunting in patients with large syringes. Postoperative magnetic resonance imaging demonstrated that the syrinx had collapsed or decreased insize in 94% of the patients who underwent FMD and in 100% of the patients who underwent SS shunting. Neurological Improvements were observed in 82% and in 97% of the patients who underwent FMD and SS shunting,respectively. In particular, the relief of pain was more fully achieved after SS shunting than after FMD. The average time for the syrinx to collapse was 6.3 weeks after surgery in the FMD group and 1.8 weeks in the SS shunting group. These results indicate that clinical symptoms and radiological findings improved much more quickly in the SS shunting group than in the FMD group. SS shunting may be superior to FMD asan initial treatment for syringomyelia with Chiari I malformation, especially for those patients who have large syringes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 22:30:27