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
Hauptverfasser: Chotai, Silky, Medhkour, Azedine
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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.
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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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