Chiari type I malformation with syringomyelia treatment of 16 patients.docVIP

 PAGE \* MERGEFORMAT 12 Chiari type I malformation with syringomyelia treatment of 16 patients [Abstract] Objective?: To investigate the posterior fossa decompression (PFD) treatment of Chiari type I malformation with syringomyelia and experience of the clinical effect. Methods: Retrospective analysis from 2002 to 2007 of 16 cases treated by undergraduate Chiari malformation type I The clinical manifestations associated with syringomyelia, surgical treatment and prognosis. Results: 3 to 36 months follow-up, 16 patients treated by the PFD method, of which 11 patients with symptoms were improved, 7 cases of syringomyelia significantly reduced. Conclusion: PFD treatment of Chiari malformation applications I-efficacy was significantly associated with syringomyelia is a more reasonable treatment of the disease were selected. [Keywords:] Chiari malformation type I; Syringomyelia; surgical decompression Chiari malformation occurred in the craniocervical junction is involved in the caudal cerebellum, medulla oblongata and upper cervical cord area brain malformation, which I type the cerebellar tonsils down over the level of the foramen magnum into the cervical canal hernia characterized. Usually, I type in blue juvenile or adult in the beginning of clinical symptoms, and many of the clinical features of syringomyelia associated with its relevant. For Chiari malformation and syringomyelia associated with the pathogenesis has so far remained open, but most believe that the foramen magnum CSF outflow tract area abnormality, and the fourth ventricle and central canal of the spinal cord may be abnormal traffic between the Chiari malformation with syringomyelia reasons. surgical methods currently used mainly for posterior fossa decompression (PFD) and empty shunt. I Division in 2002 -2007 Chiari malformation were treated in I-16 patients with syringomyelia, line PFD + “Y”-shaped incision of the dura angioplasty, results of operations are more satisfied, are as follo