Surgical outcomes after posterior fossa decompression with and without duraplasty in Chiari malformation-I
Highlights • A retrospective review of the surgical outcomes in Chiari malformation-I patients with and without syringomyelia is reported. • Favorable surgical outcomes can be anticipated with extra-dural decompression of the posterior fossa in CM-I patients without syringomyelia. • For patients wit...
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Veröffentlicht in: | Clinical neurology and neurosurgery 2014-10, Vol.125, p.182-188 |
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description | Highlights • A retrospective review of the surgical outcomes in Chiari malformation-I patients with and without syringomyelia is reported. • Favorable surgical outcomes can be anticipated with extra-dural decompression of the posterior fossa in CM-I patients without syringomyelia. • For patients with syringomyelia and history of prior PFD, intradural intra-arachnoid decompression is required. • The prior history of decompression was associated with unfavorable outcomes. • The use of duraplasty was associated with longer duration of hospital stay and higher complication rate. |
doi_str_mv | 10.1016/j.clineuro.2014.07.027 |
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Medhkour, Azedine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-f410f22baaa0571ff6f018c9592efb959480bb08e4b86e2ec8311613ff313b4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arnold-Chiari Malformation - surgery</topic><topic>Back pain</topic><topic>Chiari malformation</topic><topic>Decompression, Surgical - adverse effects</topic><topic>Decompression, Surgical - methods</topic><topic>Dissection</topic><topic>Dura Mater - surgery</topic><topic>Dura-splitting</topic><topic>Extra-dural</topic><topic>Female</topic><topic>Headaches</topic><topic>Humans</topic><topic>Intradural</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Patients</topic><topic>Postoperative Complications - etiology</topic><topic>Retrospective Studies</topic><topic>Studies</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><topic>Syringomyelia</topic><topic>Syringomyelia - surgery</topic><topic>Throat surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chotai, Silky</creatorcontrib><creatorcontrib>Medhkour, Azedine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chotai, Silky</au><au>Medhkour, Azedine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical outcomes after posterior fossa decompression with and without duraplasty in Chiari malformation-I</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>125</volume><spage>182</spage><epage>188</epage><pages>182-188</pages><issn>0303-8467</issn><eissn>1872-6968</eissn><coden>CNNSBV</coden><abstract>Highlights • A retrospective review of the surgical outcomes in Chiari malformation-I patients with and without syringomyelia is reported. • Favorable surgical outcomes can be anticipated with extra-dural decompression of the posterior fossa in CM-I patients without syringomyelia. • For patients with syringomyelia and history of prior PFD, intradural intra-arachnoid decompression is required. • The prior history of decompression was associated with unfavorable outcomes. • The use of duraplasty was associated with longer duration of hospital stay and higher complication rate.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>25171392</pmid><doi>10.1016/j.clineuro.2014.07.027</doi><tpages>7</tpages></addata></record> |
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subjects | Adolescent Adult Arnold-Chiari Malformation - surgery Back pain Chiari malformation Decompression, Surgical - adverse effects Decompression, Surgical - methods Dissection Dura Mater - surgery Dura-splitting Extra-dural Female Headaches Humans Intradural Male Middle Aged Neurology Neurosurgery Patients Postoperative Complications - etiology Retrospective Studies Studies Surgical outcomes Surgical techniques Syringomyelia Syringomyelia - surgery Throat surgery Treatment Outcome Young Adult |
title | Surgical outcomes after posterior fossa decompression with and without duraplasty in Chiari malformation-I |
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