Precise Management of Chiari Malformation with Type I

Guo, Fuyou; Turğut, Mehmet

doi:10.3389/fsurg.2022.850879

Cited by 3 publications

(2 citation statements)

References 36 publications

(29 reference statements)

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“…This result is most likely due to the fact that diagnosed syringomyelia is a strict indication for surgery because of the potential risk of subsequent damage to the spinal cord. [ 24 ] Therefore, despite the claimed statistically nonsignificant between-group differences of level of pain ( P > .05), patients with syringomyelia were more likely to give their consent to the operation to stop the progression of the disease in the future. Moreover, the preoperative clinical status could not be established objectively, therefore additional factors leading to surgery could also be aggravating symptoms.…”

Section: Discussionmentioning

confidence: 97%

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Pain–depression relationship, quality of life and acceptance of illness among patients with Chiari malformation type I: A cross-sectional study

et al. 2023

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Chiari malformation type I (CM-I) is a congenital anomaly of the hindbrain. The most common symptoms include suboccipital tussive headache, dizziness and neck pain. Recently there has been growing interest in the psychological and psychiatric aspects of functioning in patients with CM-I, which have a significant effect on treatment outcomes and quality of life (QoL). The aim of the study was to assess the severity of depressive symptoms and the QoL in patients with CM-I and to identify the main factors responsible for these phenomena. A total of 178 people participated in the study and were divided into 3 groups: patients with CM-I who had undergone surgery (n = 59); patients with CM-I who had not undergone surgery (n = 63); and healthy volunteers (n = 56). Psychological evaluation included a set of questionnaires: the Beck Depression Inventory II, the World Health Organization shortened version of the WHOQOL-100 quality of life questionnaire, the Acceptance of Illness Scale and the Beliefs about Pain Control Questionnaire. Results showed that the control group participants obtained significantly better results than both groups of CM-I patients in terms of all indicators of QoL, symptoms of depression, acceptance of illness, pain level (average and present) and perceived influence of doctors regarding coping with pain. Patients with CM-I (operated and non-operated) obtained similar results in most of the questionnaires and the QoL indices correlated significantly with the majority of the analyzed variables. Moreover, CM-I patients with higher depression scores described their pain as more severe and had a stronger belief that pain levels were not influenced by them but only by doctors, or that it could be controlled randomly; they were also less willing to accept their illness. CM-I symptoms affect the mood and QoL of patients. Psychological and psychiatric care should be the golden standard in managing this clinical group.

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Section: Discussionmentioning

confidence: 97%

“…A lower score indicates a worse level of disease acceptance and higher emotional discomfort. The results are divided into 3 levels of disease acceptance: poor (< 20), medium (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) and high (> 30). [13,14]…”

Section: Acceptance Of Illness Scale (Ais)mentioning

confidence: 99%