Microsurgical treatment of Arnold-Chiari Ⅰ malformation combined with syringomyelia
10.3760/cma.j.issn.1671-8925.2011.10.006
- VernacularTitle:Arnold-Chiari畸形Ⅰ型并脊髓空洞症的显微外科治疗
- Author:
Chang-Shun BAO
1
;
Fu-Bing YANG
;
Liang LIU
;
Bing WANG
;
Shu-Liang ZHAN
;
Li-Gang CHEN
Author Information
1. 泸州医学院附属医院
- Keywords:
Amold-Chiari malformation;
Syringomyelia;
Microsurgery
- From:
Chinese Journal of Neuromedicine
2011;10(10):993-995
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the methods ofmicrosurgical treatment of Arnold-Chiari Ⅰ malformation combined with syringomyelia and their curative effects.Methods The clinical data of 185 patients with Arnold-Chiari Ⅰ malformation combined with syringomyelia,admitted to our hospital from January 1997 to June 2010 and received different surgical treatments,were summarized.The relationship between curative effects and operative methods were analyzed.Results When these 185 patients were discharged from our hospital,the clinical signs and symptoms eliminated in 156 (84.3％)and not changed in 29; no symptomatic deterioration and death were noted.One hundred and forty-seven patients were followed up for 3 months-12 years; symptoms disappeared or alleviated in 110 (74.8％),not changed in 26 and deteriorated in 11.The MR findings in 95 patients demonstrated that the cisternals reconstructed and expanded in 82 and the cavities in spinal cords reduced in 79.Conclusion Both posterior fossa decompression + duraplasty and removal of cerebella tonsils + plastic operation of cistern magna are effective and advisable methods in the treatment of Arnold-Chiari Ⅰ malformation combined with syringomyelia.
