Syringo-subarachnoid shunt: how I do it.
Chiari I malformation
Microsurgery
Pediatric neurosurgery
Spinal cord
Spinal electrophysiological monitoring
Syringo-subarachnoid shunt
Syringomyelia
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
12
11
2018
accepted:
12
01
2019
pubmed:
23
1
2019
medline:
25
1
2020
entrez:
23
1
2019
Statut:
ppublish
Résumé
Syringo-subarachnoid shunt (SSS) is a valid method for the treatment of syringomyelia persisting after foramen magnum decompression (FMD) for Chiari I malformation. We give a brief overview on indication and outcome of SSS, followed by a detailed description of the surgical anatomy, and of the microsurgical technique. In particular, we highlight some key points for complication avoidance. SSS is a valid option to treat syringomyelia, since in experienced hands, the outcome is good in most patients, including those with holocord syringomyelia. Careful understanding of anatomy and spinal cord physiology is required to minimize complications.
Sections du résumé
BACKGROUND
Syringo-subarachnoid shunt (SSS) is a valid method for the treatment of syringomyelia persisting after foramen magnum decompression (FMD) for Chiari I malformation.
METHOD
We give a brief overview on indication and outcome of SSS, followed by a detailed description of the surgical anatomy, and of the microsurgical technique. In particular, we highlight some key points for complication avoidance.
CONCLUSION
SSS is a valid option to treat syringomyelia, since in experienced hands, the outcome is good in most patients, including those with holocord syringomyelia. Careful understanding of anatomy and spinal cord physiology is required to minimize complications.
Identifiants
pubmed: 30666455
doi: 10.1007/s00701-019-03810-x
pii: 10.1007/s00701-019-03810-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM