Spontaneous resolution of an extensive posttraumatic syrinx

Killeen, Tim; Rösner, Jan; Jutzeler, Catherine R.; Hupp, Markus; Heilbronner, Raoul; Curt, Armin

doi:10.1212/wnl.0000000000003130

Cited by 5 publications

(1 citation statement)

References 7 publications

(12 reference statements)

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“…Spastic paralysis can be below the plane of the lesion, occurring the increasing muscle tension and negative abdominal wall and positive Babinski, which has higher disability rates. What’s more, it can also occur the dysfunction of the respiratory muscles, affecting the quality of patients seriously (Killeen et al, 2016, Liu et al, 2014). The database of syringomyelia shows about 75% patients suffer from this disease because of the Chiari malformation, and the type I, caused by heredity generally, is most common.…”

Section: Introductionmentioning

confidence: 99%

The clinical efficacy study of treatment to Chiari malformation type I with syringomyelia under the minimally invasive surgery of resection of Submeningeal cerebellar Tonsillar Herniation and reconstruction of Cisterna magna

Lou

Yang

Wang

et al. 2019

Saudi Journal of Biological Sciences

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PurposeDiscuss the clinical efficacy of treatment to Chiari malformation type I with syringomyelia under the minimally invasive surgery of resection of Submeningeal Cerebellar Tonsillar Herniation and reconstruction of Cisterna magna.Methods130 Chiari malformation type I with syringomyelia patients, divided into treatment group, literature group and control group, were collected to be treated under the monitoring of ultrasound in the surgery.Results6 months after operation, the lesions were decreased or disappeared, the symptoms were relieved obviously. According to MRI and Mimics 17.0 software, the volumes of Cisterna magna increased distinctly (P < 0.001), the proportions of brain in foramen magnum region were decreased (P < 0.001). Assessed by CCOS scale and Tator methods, the improvement rates of treatment group were 97.7% and 94.6%, the literature group and control group were 82.2% and 77.8%, respectively.ConclusionThe efficacy of Chiari malformation type I with syringomyelia under the minimally invasive surgery of resection of Submeningeal Cerebellar Tonsillar Herniation and reconstruction of Cisterna magna is remarkable, and the complications are fewer. This surgery emphasizes recovery of tonsil of cerebellum and reconstruction of Cisterna magna and the circulation path of cerebrospinal fluid, which is a safe and efficient treatment.

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Section: Introductionmentioning

confidence: 99%