Surgical Experience in Pediatric Patients with Chiari-I Malformations Aged ≤18 Years.
J Neurosci Rural Pract
; 10(1): 85-88, 2019.
Article
em En
| MEDLINE
| ID: mdl-30765976
ABSTRACT
OBJECTIVE:
The objective of this study was to retrospectively study Chiari I malformation patients (<18 years) treated surgically. MATERIALS ANDMETHODS:
Chiari I malformation patients (<18 years) treated surgically at our institute were retrospectively studied.RESULTS:
During the study period between January 1999 and June 2011, fifty patients, aged ≤18 years with Chiari malformation, were treated surgically and formed the basis for this series. There were 21 female children (42%) and 29 male children (58%), with a female-to-male ratio of 11. At the last follow-up, oropharyngeal symptoms were improved in 33% (n = 3/9). Headache/neck/back pain improved in 69.56% of children (n = 16/23). Upper-extremity pain/weakness/numbness improved in 73.91% of children (n = 17/23). Ataxia improved in 66.66% of children (n = 4/6). Lower-limb weakness/hyperreflexia improved in 83.33% of children (n = 5/6). At follow-up, magnetic resonance imaging for patients with syrinx was available for 75% of patients (n = 30/50) and not available for 25% of patients (n = 10/40). Syrinx was diminished in size or resolved in 66.33% of patients (n = 19/30) and the remaining was same for 36.66% of patients (n = 11/30).CONCLUSIONS:
The main goal of surgery is to arrest the progression of neurological deficits. Foramen magnum decompression with a lax duroplasty is the surgical procedure of choice.
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Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Idioma:
En
Revista:
J Neurosci Rural Pract
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Índia