Clinical deterioration despite syringomyelia resolution after successful foramen magnum decompression for Chiari malformation - Case series.
Arnold-Chiari Malformation
/ complications
Child
Child, Preschool
Clinical Deterioration
Decompression, Surgical
/ methods
Female
Foramen Magnum
/ surgery
Humans
Magnetic Resonance Imaging
Male
Muscle Weakness
/ etiology
Neurosurgical Procedures
/ methods
Paresthesia
/ etiology
Syringomyelia
/ etiology
Treatment Outcome
Chiari malformation
Foramen magnum decompression
Syringomyelia
Journal
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society
ISSN: 1532-2130
Titre abrégé: Eur J Paediatr Neurol
Pays: England
ID NLM: 9715169
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
16
09
2018
revised:
27
12
2018
accepted:
08
01
2019
pubmed:
27
1
2019
medline:
9
5
2019
entrez:
27
1
2019
Statut:
ppublish
Résumé
Neurosurgical treatment is recommended for symptomatic syringomyelia and the post-operative radiological resolution of the syringomyelia is associated with an improvement or at least stability of the patient's pre-operative symptoms. We reviewed syringomyelia treatment in our centre over the last five years for clinical outcome, surgical complications, post operative MRI and long term symptom resolution. 50 cases of symptomatic syringomyelia underwent foramen magnum decompression and expansile watertight duroplasty. While the outcomes for majority are similar to what published in literature, three of them developed typical syringomyelia symptoms after initial good recovery and radiological resolution of syrinx. Syringomyelia symptoms may appear or worsen following successful surgical treatment and radiological resolution of syrinx and it is important to counsel young people and their family regarding this.
Identifiants
pubmed: 30683486
pii: S1090-3798(18)30418-5
doi: 10.1016/j.ejpn.2019.01.003
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
333-337Informations de copyright
Copyright © 2019 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.