Cistern angioplasty chiarimalformation associated with syringomyelia Nursing.docVIP

 PAGE \* MERGEFORMAT 13 Cistern angioplasty chiarimalformation associated with syringomyelia Nursing [Keywords:] Chiari malformation Chiari malformation is a form of cerebellar tonsillar herniation into the foramen magnum under the main features of the congenital [1]. Mainly for the cervical spinal cord compression, cranial nerve and cervical nerve involvement signs, cerebellar signs, increased intracranial pressure syndrome, etc., clinical rare. Traditional posterior fossa decompression has not been fundamentally restore the foramen magnum cerebrospinal fluid circulation unobstructed, only delay the progress of the disease. This study of 24 patients with chiari I malformation associated with syringomyelia treated with angioplasty cistern, through the professional care, fewer postoperative complications, long-term follow-up to restore better. Nursing will now be reported as follows. 1 Data and methods 1.1 General Information Choose from April 2001 to May 2005 at the First Affiliated Hospital, Zhejiang University School of Medicine Neurosurgery OK chiari I malformation associated with syringomyelia in patients with surgical treatment of 24 patients, 10 cases were males and 14 females, aged (12 ~ 51) years old, mean age (35.62 ± 17.60) years of age. Duration of 1 month to 20 years old, with an average duration (2.73 ± 0.81) years. Foramen magnum compression type in 7 cases, paroxysmal type 6 cases of increased intracranial pressure, spinal cord damage to the central part type in 6 cases, cerebellar type 2 cases, ankylosis type 2 cases of type 1 cases of bulbar paralysis. With hydrocephalus in 6 cases. Patients were diagnosed by MRI examination. 1.2 surgical Angioplasty cistern that posterior fossa decompression + dura forming + cerebellar tonsillectomy (retraction) + arachnoid adhesions break down. Take external occipital protuberance to the spinous process C3 after the middle of straight-line incision, resection of the Department of the occipital squa