دورية أكاديمية
The use of the trendelenburg position in the surgical treatment of extreme cerebellar slump
| العنوان: | The use of the trendelenburg position in the surgical treatment of extreme cerebellar slump |
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| المؤلفون: | Dewaele, Frank, Kalmar, Alain F., Baert, Edward, Van Haver, Annemieke, Hallaert, Giorgio, De Mets, Frank, Williams, Leonie, Okito, Jean Pierre Kalala, Paemeleire, Koen, Caemaert, Jacques, Van Roost, Dirk |
| المصدر: | Dewaele , F , Kalmar , A F , Baert , E , Van Haver , A , Hallaert , G , De Mets , F , Williams , L , Okito , J P K , Paemeleire , K , Caemaert , J & Van Roost , D 2016 , ' The use of the trendelenburg position in the surgical treatment of extreme cerebellar slump ' , British journal of neurosurgery , vol. 30 , no. 1 , pp. 115-119 . https://doi.org/10.3109/02688697.2015.1073220Test |
| سنة النشر: | 2016 |
| المجموعة: | University of Groningen research database |
| مصطلحات موضوعية: | Trendelenburg, brainstem, slump, cerebellar, CHIARI-I MALFORMATION, FORAMEN MAGNUM DECOMPRESSION, EXPANSIVE SUBOCCIPITAL CRANIOPLASTY, CRANIOCERVICAL DECOMPRESSION, SYRINGOMYELIA, MANAGEMENT, HINDBRAIN, SURGERY |
| الوصف: | Background. State-of-the-art treatment for Chiari Malformation I (CM-I) consists of decompression by posterior fossa craniectomy. A rare but severe complication that develops over months to years after this procedure is cerebellar slump. Treatment options for this condition are limited. We present a new and promising approach to treat this rare condition. Methods. The patients were placed in the Trendelenburg position to facilitate ascent of the cerebellum. After almost complete dissolution of neurologic symptoms, surgical reconstruction was performed by tonsillar resection and the creation of a new structural support using a bone graft. Results. Both patients experienced good clinical and morphological outcomes immediately after surgery, and for two years thereafter. Conclusions. Neurological symptoms related to cerebellar or brainstem slump can be adequately reversed by placing the patient in the Trendelenburg position. After uneventful gravitational reversal of the slump, safe surgical reconstruction of the cerebellar support can be performed to securely preserve the anatomical reversal. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://research.rug.nl/en/publications/afa4379b-9164-4a41-9380-b62087967c09Test |
| DOI: | 10.3109/02688697.2015.1073220 |
| الإتاحة: | https://doi.org/10.3109/02688697.2015.1073220Test https://hdl.handle.net/11370/afa4379b-9164-4a41-9380-b62087967c09Test https://research.rug.nl/en/publications/afa4379b-9164-4a41-9380-b62087967c09Test |
| حقوق: | info:eu-repo/semantics/closedAccess |
| رقم الانضمام: | edsbas.BAB1D67C |
| قاعدة البيانات: | BASE |
| DOI: | 10.3109/02688697.2015.1073220 |
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