التفاصيل البيبلوغرافية
| العنوان: |
Abrupt foramen magnum syndrome due to shunt malfunction in a previously asymptomatic chiari I malformation: the hidden predictable risk in long-lasting shunted patients. |
| المؤلفون: |
Novegno, Federica, Pagano, Andrea, Fava, Filippo, Umana, Giuseppe, Lunardi, Pierpaolo, Fraioli, Mario Francesco |
| المصدر: |
British Journal of Neurosurgery; Aug2023, Vol. 37 Issue 4, p881-885, 5p, 1 Color Photograph, 2 Black and White Photographs |
| مصطلحات موضوعية: |
CEREBROSPINAL fluid shunts, CLINICAL deterioration, SYNDROMES, CEREBROSPINAL fluid, DISEASE progression |
| مستخلص: |
Cerebrospinal fluid overdrainage in long-lasting shunted hydrocephalus is a well recognized complication. It may lead to different clinical syndromes which may occur over time, namely cranioencephalic disproportion and hindbrain herniation. Among the latter, Chiari malformation type 1 classically refers to one of the mildest form. When symptomatic, the patients generally exhibit a chronic, slowly progressive disease course. Although well documented in Chiari type II malformation and hydrocephalus, ventriculo-peritoneal shunt malfunction causing acute neurological deterioration in acquired Chiari malformation type 1 has been described only in three cases. All these patients underwent urgent shunt revision and suboccipital decompression in two of them, achieving good clinical improvement. We report on a 20-year-old woman harboring a previously asymptomatic Chiari malformation type 1, who experienced an acute foramen magnum syndrome with ventriculo-peritoneal shunt malfunction. We performed an endoscopic third-ventriculo-cisternostomy and definite removal of the shunt, obtaining the complete resolution of symptoms and shunt independence at 2 years follow-up. The phisiopathogenetic mechanisms and surgical management are discussed. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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