Outcome of Posterior Fossa Decompression for Chiari Type I Malformation with Syringomyelia
There are various treatment approaches for treating Chiari type I malformation with syringomyelia. Despite various choices, consensus for one particular approach is lacking. The objective of this study is to find out the clinical and radiological outcome of standard posterior fossa decompression inc...
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| Format: | Article |
| Language: | English |
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NESON
2019-06-01
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| Series: | Nepal Journal of Neuroscience |
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| Online Access: | https://www.nepjol.info/index.php/NJN/article/view/24429 |
| _version_ | 1811277395891585024 |
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| author | Sagar Koirala Suresh Bishokarma Dinesh Nath Gongal Henry Thomas |
| author_facet | Sagar Koirala Suresh Bishokarma Dinesh Nath Gongal Henry Thomas |
| author_sort | Sagar Koirala |
| collection | DOAJ |
| description | There are various treatment approaches for treating Chiari type I malformation with syringomyelia. Despite various choices, consensus for one particular approach is lacking. The objective of this study is to find out the clinical and radiological outcome of standard posterior fossa decompression incorporating removal of C1 arch with lax duroplasty in such cases.
A retrospective study based on data acquired from a single tertiary center were analyzed. All cases who underwent posterior fossa decompression incorporating removal of C1 arch with lax duroplasty over a period of five years were included and their clinical and radiological progress were recorded during OPD follow up at 6 months.
Out of 21 cases, occipital headache with nape of neck pain was the predominant complaint accounting to 71% followed by sensory symptoms and motor weakness, 61% and 33% respectively. Pain resolved in 93%, weakness in 71% and sensory symptoms in 69% of the cases. Only one patient developed hydrocephalus requiring shunting. Radiological improvement of syringomyelia were documented in 76.1% of the patients. There was no mortality.
Posterior fossa decompression incorporating removal of C1 arch and lax duroplasty is a safe approach with good outcome in patients with Chiari I malformation with syringomyelia. |
| first_indexed | 2024-04-13T00:15:01Z |
| format | Article |
| id | doaj.art-a38cabd906cc4d4d98ee0b56b24f9005 |
| institution | Directory Open Access Journal |
| issn | 1813-1948 1813-1956 |
| language | English |
| last_indexed | 2024-04-13T00:15:01Z |
| publishDate | 2019-06-01 |
| publisher | NESON |
| record_format | Article |
| series | Nepal Journal of Neuroscience |
| spelling | doaj.art-a38cabd906cc4d4d98ee0b56b24f90052022-12-22T03:10:57ZengNESONNepal Journal of Neuroscience1813-19481813-19562019-06-01161353810.3126/njn.v16i1.24429Outcome of Posterior Fossa Decompression for Chiari Type I Malformation with SyringomyeliaSagar Koirala 0Suresh Bishokarma1Dinesh Nath Gongal 2Henry Thomas 3Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, NepalUpendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, NepalMarsh St. George’s hospital, Tooting, Southwest London, UKThere are various treatment approaches for treating Chiari type I malformation with syringomyelia. Despite various choices, consensus for one particular approach is lacking. The objective of this study is to find out the clinical and radiological outcome of standard posterior fossa decompression incorporating removal of C1 arch with lax duroplasty in such cases. A retrospective study based on data acquired from a single tertiary center were analyzed. All cases who underwent posterior fossa decompression incorporating removal of C1 arch with lax duroplasty over a period of five years were included and their clinical and radiological progress were recorded during OPD follow up at 6 months. Out of 21 cases, occipital headache with nape of neck pain was the predominant complaint accounting to 71% followed by sensory symptoms and motor weakness, 61% and 33% respectively. Pain resolved in 93%, weakness in 71% and sensory symptoms in 69% of the cases. Only one patient developed hydrocephalus requiring shunting. Radiological improvement of syringomyelia were documented in 76.1% of the patients. There was no mortality. Posterior fossa decompression incorporating removal of C1 arch and lax duroplasty is a safe approach with good outcome in patients with Chiari I malformation with syringomyelia.https://www.nepjol.info/index.php/NJN/article/view/24429chiari malformationsyringomyeliaposterior fossa decompression |
| spellingShingle | Sagar Koirala Suresh Bishokarma Dinesh Nath Gongal Henry Thomas Outcome of Posterior Fossa Decompression for Chiari Type I Malformation with Syringomyelia Nepal Journal of Neuroscience chiari malformation syringomyelia posterior fossa decompression |
| title | Outcome of Posterior Fossa Decompression for Chiari Type I Malformation with Syringomyelia |
| title_full | Outcome of Posterior Fossa Decompression for Chiari Type I Malformation with Syringomyelia |
| title_fullStr | Outcome of Posterior Fossa Decompression for Chiari Type I Malformation with Syringomyelia |
| title_full_unstemmed | Outcome of Posterior Fossa Decompression for Chiari Type I Malformation with Syringomyelia |
| title_short | Outcome of Posterior Fossa Decompression for Chiari Type I Malformation with Syringomyelia |
| title_sort | outcome of posterior fossa decompression for chiari type i malformation with syringomyelia |
| topic | chiari malformation syringomyelia posterior fossa decompression |
| url | https://www.nepjol.info/index.php/NJN/article/view/24429 |
| work_keys_str_mv | AT sagarkoirala outcomeofposteriorfossadecompressionforchiaritypeimalformationwithsyringomyelia AT sureshbishokarma outcomeofposteriorfossadecompressionforchiaritypeimalformationwithsyringomyelia AT dineshnathgongal outcomeofposteriorfossadecompressionforchiaritypeimalformationwithsyringomyelia AT henrythomas outcomeofposteriorfossadecompressionforchiaritypeimalformationwithsyringomyelia |