Posterior Fossa Decompression and superficial durotomy rather than complete durotomy and duraplasty in the management of Chiari 1
| العنوان: | Posterior Fossa Decompression and superficial durotomy rather than complete durotomy and duraplasty in the management of Chiari 1 |
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| المؤلفون: | Adem Aslan, Serhat Kormaz, Mehmet Gazi Boyaci, Emre Atay, Necmettin Coban, Usame Rakip, Serhat Yildizhan |
| المصدر: | Neurological Research. 43:440-446 |
| بيانات النشر: | Informa UK Limited, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, 0301 basic medicine, medicine.medical_specialty, Adolescent, Decompression, Posterior fossa, Neurosurgical Procedures, Young Adult, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Child, Aged, Retrospective Studies, Chiari malformation, medicine.diagnostic_test, business.industry, Infant, Postoperative complication, Magnetic resonance imaging, General Medicine, Middle Aged, Decompression, Surgical, medicine.disease, Arnold-Chiari Malformation, Hydrocephalus, Vertebra, Surgery, Treatment Outcome, 030104 developmental biology, medicine.anatomical_structure, Cranial Fossa, Posterior, Neurology, Child, Preschool, Female, Dura Mater, Neurology (clinical), Tomography, X-Ray Computed, business, 030217 neurology & neurosurgery, Syringomyelia |
| الوصف: | Objective: We aimed to evaluate the effectiveness and reliability of posterior fossa decompression (PFD) and superficial durotomy in patients who underwent surgery for Chiari malformation type 1 (CM1).Materials and Methods: Our study included 54 patients with the diagnosis of CM1 who had surgery between January 2012 and June 2019. The patients were divided into two groups according to the surgical technique applied. Group 1 included 10 patients who underwent classic PFD and duraplasty, and Group 2 included 44 patients who underwent PFD and superficial durotomy surgery. Pre- and postoperative clinical signs and symptoms of each patient were recorded. Simultaneously, morphometric measurements were compared from computed tomography (CT) and magnetic resonance (MRI) images taken pre- and postoperatively. The data of the two groups were compared.Results: Of the 54 patients, 18 were male, and the mean age was 37.51 ± 15.14. A statistically significant difference was found between the pre- and postoperative morphometric measurements of the subarachnoid distance, craniocervical angle, syringomyelia, and hydrocephalus at the cerebellum level in Group 2 patients who underwent PFD and superficial durotomy surgery (p 0.05). There was a 92% improvement in clinical signs and symptoms postoperatively. The complications seen in Group 1 decreased to a minimum in Group 2.Conclusion: We believe that a minimally invasive surgical method is superior to avoid major complications. We also found PFD and superficial durotomy shorten the duration of the patient's hospital stayAbbreviations: C1: cervical vertebra 1C2: cervical vertebra 2CM: Chiari malformationCM1: Chiari malformation type 1CSF: cerebrospinal fluidCT: computed tomographyMRI: magnetic resonance imagingPFD: posterior fossa decompressionUSG: ultrasonography. |
| تدمد: | 1743-1328 0161-6412 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b645777646b8a90702ba9cea124fa792Test https://doi.org/10.1080/01616412.2020.1866386Test |
| رقم الانضمام: | edsair.doi.dedup.....b645777646b8a90702ba9cea124fa792 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17431328 01616412 |
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