2004
DOI: 10.1590/s0004-282x2004000200009
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Abstract: -We analyze the results of surgical treatment of 60 patients presenting syringomyelia (SM) associated with Chiari malformation (CM) who were operated in the period 1982-2000. For each case, analysis covered 15 signs and 16 symptoms included in a protocol that separated SM signs and symptoms from those of CM. A score system was established in parallel with the protocol to make the evaluation of treatment results easier. All cases were submitted to craniovertebral decompression by C1 and eventually C2 laminectom… Show more

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Cited by 16 publications
(19 citation statements)
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“…Other surgeons 10,12,23 , as observed in recent publications, recommend the dissection of the arachnoidal adherences of the tonsils and vessels and opening of the fourth ventricle. Furthermore, they recommend tonsillectomy as a protection against slump, eliminating the compressive effect over the medulla and spinal cord, as described by Williams 25 , as well as it contributes to the creation of a large artificial cisterna magna, which facilitates an upward migration of the hindbrain structures.…”
Section: Discussionmentioning
confidence: 99%
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“…Other surgeons 10,12,23 , as observed in recent publications, recommend the dissection of the arachnoidal adherences of the tonsils and vessels and opening of the fourth ventricle. Furthermore, they recommend tonsillectomy as a protection against slump, eliminating the compressive effect over the medulla and spinal cord, as described by Williams 25 , as well as it contributes to the creation of a large artificial cisterna magna, which facilitates an upward migration of the hindbrain structures.…”
Section: Discussionmentioning
confidence: 99%
“…It frequently comes in association with other congenital anomalies such as atlas assimilation, Klippel-Feil syndrome, Sprengel's deformity, CM, platybasia and SM as reported by many authors [8][9][10][11][12][13] . Its association with others deformities is directly related to the theory of embryogenetic error.…”
Section: Discussionmentioning
confidence: 99%
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“…The high prevalence of BI associated with CM in the Northeast of Brazil was reported by many authors [8][9][10][11][12] , although there is no suitable known reason for this fact.…”
Section: Resultsmentioning
confidence: 99%
“…Other surgeons 11,17,[26][27][28] recommend the dissection of the arachnoid adherences of the tonsils and vessels and opening of the fourth ventricle. They recommend tonsillectomy as a protection against slump, eliminating the compressive effect over the medulla and spinal cord, as described by Williams 20 .…”
Section: Discussionmentioning
confidence: 99%