Chiari Malformation: Own Experience

Czech version

Authors: Marek Sova; M. Smrčka; V. Smrčka; G. Hanoun
Authors‘ workplace: Neurochirurgická klinika LF MU a FN Brno
Published in: Cesk Slov Neurol N 2007; 70/103(3): 304-307
Category: Short Communication

Práce byla přednesena na 11. pracovních dnech chirurgie lební báze ve Dvoře Králové, 14. 9.–16. 9. 2006

Overview

The authors have presented results of an operative therapy of patients with Chiari malformation treated at the Department of Neurosurgery in University Hospital Brno since 1998 till now. A group of 13 patients, 11 women and 2 men with the average age of 52 years, was evaluated. The most cases were patients with Chiari malformation type I with or without syringomyelia. The most common symptoms included: headaches, brainstem, cerebellar and spinal symptoms. The report has emphasized the necessity of operative technique with sufficient bone decompression, dural decompression with duroplasty and then the restoration of the normal cerebrospinal fluid circulation by releasing arachnoid adhesions. The improvement in clinical symptoms is documented by the adjustment of radiological findings. The authors have discussed various alternatives of surgical approaches.

Key words:
Chiari malformation – syringomyelia – decompression

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