دورية أكاديمية
أعرض في EDS

Management of Persistent Syringomyelia in Patients Operated for Chiari Malformation Type 1.

التفاصيل البيبلوغرافية
العنوان: Management of Persistent Syringomyelia in Patients Operated for Chiari Malformation Type 1.
المؤلفون: Aydin L; Department of Neurosurgery, Medicana International Istanbul, Istanbul, Turkey. Electronic address: mdleventaydin@gmail.com., Dereli D; Department of Neurosurgery, Health Science University Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey., Kartum TA; Department of Neurosurgery, Midyat State Hospital, Mardin, Turkey., Sirinoglu D; Department of Neurosurgery, Health Science University, Okmeydani Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey., Sahin B; Department of Neurosurgery, Health Science University Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey., Eksi MS; Department of Neurosurgery, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey., Musluman AM; Department of Neurosurgery, Health Science University, Okmeydani Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey., Yilmaz A; Department of Neurosurgery, Health Science University Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
المصدر: World neurosurgery [World Neurosurg] 2024 Feb; Vol. 182, pp. e360-e368. Date of Electronic Publication: 2023 Nov 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مواضيع طبية MeSH: Syringomyelia*/complications , Syringomyelia*/diagnostic imaging , Syringomyelia*/surgery , Arnold-Chiari Malformation*/complications , Arnold-Chiari Malformation*/diagnostic imaging , Arnold-Chiari Malformation*/surgery, Humans ; Decompression, Surgical/methods ; Magnetic Resonance Imaging/methods ; Head/surgery ; Treatment Outcome
مستخلص: Background: The treatment of persistent syringomyelia associated with Chiari malformation type 1 (CM1) is unclear. This study aims to evaluate the clinical and radiologic outcomes of syringo-subarachnoid shunt (SSS) as a treatment for persistent syringomyelia following posterior fossa decompression (PFD) for CM1.
Methods: Forty-nine cases treated for CM1 associated syringomyelia at a single center were analyzed, 17 of them undergoing reoperation due to persistent syrinx formation. The patients' demographic data, neurologic presentations, and radiologic results were analyzed, including cerebellar herniation, posterior fossa volume, the level at which the syrinx started and finished, the size and diameter of the syrinx.
Results: Seventeen patients underwent SSS placement, with 1 minor surgical complication (a cerebrospinal fluid leak) occurring and requiring revision. No morbidity or mortality was observed. Among these 17 reoperated patients, partial or complete resorption of the syrinx was observed in all cases. The results suggest that if the syrinx diameter is >10 mm at its thickest point, extends for more than 10 vertebrae, and starts from the upper cervical region and extends to the upper thoracic region, the syrinx may not regress after the first surgery and potentially predicting the need for a second operation before PFD.
Conclusions: SSS placement for persistent syrinx following PFD for CM1 is a safe and effective surgical treatment method. These criteria may also help predict the need for a second surgery and the overall disease outcome for both the surgeon and patient.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Chiari malformation type 1; Syringo-subarachnoid shunt; Syringomyelia
تواريخ الأحداث: Date Created: 20231128 Date Completed: 20240223 Latest Revision: 20240625
رمز التحديث: 20240625
DOI: 10.1016/j.wneu.2023.11.109
PMID: 38013110
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2023.11.109