Complicações pós-operatórias em 139 casos de impressão basilar e/ou malformação de Arnold-Chiari

Silva, José Alberto Gonçalves da; Silva, Cláudio Emmanuel Gonçalves da

doi:10.1590/s0004-282x1981000300007

Cited by 2 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 1977, Gonçalves da Silva (49) applied technical modifications to BI surgical treatment for patients with indications for dura mater plastic surgery to increase the anatomical space of the posterior fossa, especially in cases associated with CM-I, to prevent a liquoric fistula and rebuild pachymeningial integrity, thus offering greater protection to nervous structures in this region (45,50).…”

Section: Resultsmentioning

confidence: 99%

Basilar invagination associated with chiari malformation type I: A literature review

Brito¹,

Santos²,

Nascimento³

et al. 2019

Clinics

View full text Add to dashboard Cite

Basilar invagination (BI) and Chiari malformation type I (CM-I) are very important anomalies that introduce instability and compression in the occipitocervical transition region and have complex clinical characteristics. These anomalies vary according to the affected structures. The present study revises current knowledge regarding the anatomy, anatomo-physiology, clinical manifestations, and radiological findings of these entities and the associated surgical treatment approaches. A bibliographic survey was performed through a search in the Medline, PubMed, SciELO, Science and LILACS databases. When associated, these craniovertebral malformations result in neurological deficits due to neural parenchyma compression; however, the presence of microtraumas due to repetitive lesions caused by the bulb and cervical marrow instability has been highlighted as a determinant dysfunction. Surgical treatment is controversial and has many technical variations. Surgery is also challenging due to the complex anatomical characteristics and biomechanics of this region. Nevertheless, advances have been achieved in our understanding of related mechanisms, and compression and atlantoaxial instability are considered key elements when selecting the surgical approach.

show abstract

Section: Resultsmentioning

confidence: 99%