Efficacy and Safety of Duraplasty in Chiari Malformation Type-I Patients Associated With Syringomyelia

Background Data: Chiari malformation type-I (CM-I) is a challenging subject to wrap our hands around table. Chiari symptoms often range from, unexplained, and/or occipital Valsalva type headache, chronic fatigue syndrome, to lower cranial nerve abnormalities, or brain stem compression, till severe...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Momen Almamoun, Walid Abouzeid
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	Chiari malformation Duraplasty Craniocervical Syringomyelia syringobulbia Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/94196b8b43e04026947fd1cd23357ba5
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:94196b8b43e04026947fd1cd23357ba5
record_format	dspace
spelling	oai:doaj.org-article:94196b8b43e04026947fd1cd23357ba52021-12-02T09:54:38ZEfficacy and Safety of Duraplasty in Chiari Malformation Type-I Patients Associated With SyringomyeliaDOI:10.21608/ESJ.2017.39812314-89502314-8969https://doaj.org/article/94196b8b43e04026947fd1cd23357ba52016-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3981.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Chiari malformation type-I (CM-I) is a challenging subject to wrap our hands around table. Chiari symptoms often range from, unexplained, and/or occipital Valsalva type headache, chronic fatigue syndrome, to lower cranial nerve abnormalities, or brain stem compression, till severe neurological insult which augmented by syringomyelia, or syringobulbia. Exact diagnostic and prognostic tools carry a great controversy which ranged from simple MRI study to MR imaging–based CSF velocity measurements, morphological, dynamic craniocervical junction assessments, subarachnoid pressure recordings, and compliance calculations were compared before and after surgical treatment. Purpose: This study aimed to estimate the efficacy and safely of duraplasty in CM-I patients associated with yringomyelia. Study Design: A retrospective descriptive clinical case study. Patients and Methods: The study was conducted on 23 consecutive adults patients with CM-I associated with syringomyelia. They underwent surgical treatments at Sohag University Hospital from February 2012 to May 2015. Results: The current study was applied to 23 patients; 10 males (43.5%) and 13 females (56.5%), aged 18-64 with a mean age of 41 years. The duration of symptoms before presentation varied from 1 month to 20 years. Clinical outcome was classified according to Glasgow outcome scale, 21 patients (91.3%) were graded V, 2 patients (8.7%) were grade IV, and no patient graded I. Radiologically MRI craniocervical junction suggested that decompression of the posterior fossa was achieved in all patients. Post-operative reports showed that no deterioration occurred in any of our patients. Improvement occurred and increased gradually on post-operative period. Conclusion: Craniocervical decompression with duraplasty is effective in treating patients with Chiari Malformation type-I with syringomyelia. Both clinical and radiologic improvement was documented on the follow up period. (2015ESJ099)Momen Almamoun Walid AbouzeidEgyptian Spine AssociationarticleChiari malformationDuraplastyCraniocervicalSyringomyeliasyringobulbiaNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 17, Iss 1, Pp 17-27 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Chiari malformation Duraplasty Craniocervical Syringomyelia syringobulbia Neurology. Diseases of the nervous system RC346-429
spellingShingle	Chiari malformation Duraplasty Craniocervical Syringomyelia syringobulbia Neurology. Diseases of the nervous system RC346-429 Momen Almamoun Walid Abouzeid Efficacy and Safety of Duraplasty in Chiari Malformation Type-I Patients Associated With Syringomyelia
description	Background Data: Chiari malformation type-I (CM-I) is a challenging subject to wrap our hands around table. Chiari symptoms often range from, unexplained, and/or occipital Valsalva type headache, chronic fatigue syndrome, to lower cranial nerve abnormalities, or brain stem compression, till severe neurological insult which augmented by syringomyelia, or syringobulbia. Exact diagnostic and prognostic tools carry a great controversy which ranged from simple MRI study to MR imaging–based CSF velocity measurements, morphological, dynamic craniocervical junction assessments, subarachnoid pressure recordings, and compliance calculations were compared before and after surgical treatment. Purpose: This study aimed to estimate the efficacy and safely of duraplasty in CM-I patients associated with yringomyelia. Study Design: A retrospective descriptive clinical case study. Patients and Methods: The study was conducted on 23 consecutive adults patients with CM-I associated with syringomyelia. They underwent surgical treatments at Sohag University Hospital from February 2012 to May 2015. Results: The current study was applied to 23 patients; 10 males (43.5%) and 13 females (56.5%), aged 18-64 with a mean age of 41 years. The duration of symptoms before presentation varied from 1 month to 20 years. Clinical outcome was classified according to Glasgow outcome scale, 21 patients (91.3%) were graded V, 2 patients (8.7%) were grade IV, and no patient graded I. Radiologically MRI craniocervical junction suggested that decompression of the posterior fossa was achieved in all patients. Post-operative reports showed that no deterioration occurred in any of our patients. Improvement occurred and increased gradually on post-operative period. Conclusion: Craniocervical decompression with duraplasty is effective in treating patients with Chiari Malformation type-I with syringomyelia. Both clinical and radiologic improvement was documented on the follow up period. (2015ESJ099)
format	article
author	Momen Almamoun Walid Abouzeid
author_facet	Momen Almamoun Walid Abouzeid
author_sort	Momen Almamoun
title	Efficacy and Safety of Duraplasty in Chiari Malformation Type-I Patients Associated With Syringomyelia
title_short	Efficacy and Safety of Duraplasty in Chiari Malformation Type-I Patients Associated With Syringomyelia
title_full	Efficacy and Safety of Duraplasty in Chiari Malformation Type-I Patients Associated With Syringomyelia
title_fullStr	Efficacy and Safety of Duraplasty in Chiari Malformation Type-I Patients Associated With Syringomyelia
title_full_unstemmed	Efficacy and Safety of Duraplasty in Chiari Malformation Type-I Patients Associated With Syringomyelia
title_sort	efficacy and safety of duraplasty in chiari malformation type-i patients associated with syringomyelia
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/94196b8b43e04026947fd1cd23357ba5
work_keys_str_mv	AT momenalmamoun efficacyandsafetyofduraplastyinchiarimalformationtypeipatientsassociatedwithsyringomyelia AT walidabouzeid efficacyandsafetyofduraplastyinchiarimalformationtypeipatientsassociatedwithsyringomyelia
_version_	1718397958553075712

Efficacy and Safety of Duraplasty in Chiari Malformation Type-I Patients Associated With Syringomyelia

Ejemplares similares