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Titolo:
Pediatric syringomyelia with Chiari malformation: Its clinical characteristics and surgical outcomes
Autore:
Hida, K; Iwasaki, Y; Koyanagi, I; Abe, H;
Indirizzi:
Hokkaidoanniv, Sch Med, Dept Neurosurg, Kita Ku, Sapporo, Hokkaido 060, Jap Hokkaido Univ Sapporo Hokkaido Japan 060 a Ku, Sapporo, Hokkaido 060, Jap
Titolo Testata:
SURGICAL NEUROLOGY
fascicolo: 4, volume: 51, anno: 1999,
pagine: 383 - 390
SICI:
0090-3019(199904)51:4<383:PSWCMI>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
I MALFORMATION; THECOPERITONEAL SHUNT; CHILDREN; SCOLIOSIS; HYDROSYRINGOMYELIA; DECOMPRESSION; DEFORMITY; CHILDHOOD; ADULTS;
Keywords:
Chiari malformation; syringomyelia; pediatric; scoliosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Hida, K HokkaidoHokkaidoch Med, Dept Neurosurg, Kita Ku, North 15,West 7, Sapporo, Hokkaido Univ North 15,West 7 Sapporo Hokkaido Japan 060 Sapporo,
Citazione:
K. Hida et al., "Pediatric syringomyelia with Chiari malformation: Its clinical characteristics and surgical outcomes", SURG NEUROL, 51(4), 1999, pp. 383-390

Abstract

BACKGROUNDMost reports regarding pediatric syringomyelia have focused not only on Chiari malformation, but also on spinal dysraphism. However, the clinical characteristics of syringomyelia with spinal dysraphism are quite different from those of syringomyelia due to Chiari Type I malformation. The objectivesof this study were to identify clinical characteristics of pediatric syringomyelia and to determine whether surgery prevents or corrects the scoliosis associated with syringomyelia. METHODSWe reviewed the records of 16 pediatric patients with syringomyelia and Chiari Type I malformation. The patients' ages ranged from 3 to 15 years, with mean age of 9.8 years. None of the patients had spinal dysraphism. RESULTSNystagmus was observed in 2 of the 16 patients, motor weakness in 8 patients, sensory disturbance in 10 patients, and scoliosis in 13 patients. As the initial surgical procedure, foramen magnum decompression (FMD) was performed in seven patients and syringo-subarachnoid (S-S) shunting in nine patients. The motor function improved in 7 of the 8 affected patients, and the sensory disturbance improved in 9 of the 10 affected patients. The magnetic resonance images obtained after the surgery revealed marked decrease of thesyrinx size in all patients. Of the 13 patients with scoliosis, 5 showed improvement, 5 stabilization, and 3 deterioration. CONCLUSIONSCompared with adolescent and adult syringomyelia, pediatric syringomyelia shows a much lower incidence of sensory disturbance and pain, but quite a high incidence of scoliosis. Surgery is effective in improving or stabilizing scoliosis in these patients. (C) 1999 by Elsevier Science inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 22:26:31