Headache outcomes in children undergoing foramen magnum decompression for Chiari I malformation
العنوان: | Headache outcomes in children undergoing foramen magnum decompression for Chiari I malformation |
---|---|
المؤلفون: | Prab Prabhakar, Kshitij Mankad, Dominic Thompson, Saba Raza-Knight |
المصدر: | Archives of disease in childhood. 102(3) |
سنة النشر: | 2016 |
مصطلحات موضوعية: | Male, medicine.medical_specialty, Ihs criteria, Adolescent, Decompression, Headache Disorders, Posterior fossa, 03 medical and health sciences, 0302 clinical medicine, Chiari I malformation, 030225 pediatrics, medicine, Humans, Foramen Magnum, Child, Retrospective Studies, Foramen magnum, Retrospective review, business.industry, Infant, Newborn, Infant, Decompression, Surgical, Surgery, Arnold-Chiari Malformation, medicine.anatomical_structure, Treatment Outcome, Child, Preschool, Pediatrics, Perinatology and Child Health, Female, Dura Mater, Headaches, medicine.symptom, business, 030217 neurology & neurosurgery |
الوصف: | ObjectiveA common symptom of Chiari I malformation (CIM) is headache, which is diagnosed using non-validated criteria from the International Headache Society (IHS). CIM-associated headaches should resolve following neurosurgical treatment of the malformation by foramen magnum decompression (FMD). We aimed to validate the IHS criteria and determine (1) the efficacy of FMD in treating headache and (2) whether duraplasty confers an advantage over simple bony decompression in the treatment of this symptom.MethodsA retrospective review of CIM cases treated with FMD at Great Ormond Street Hospital from 1989 to 2014 was carried out. Clinical headache characteristics were compared against IHS criteria and correlated with outcome following FMD.ResultsHeadache was a presenting symptom in 57/102 (55.9%) of patients. Of these, 42/57 (73.7%) could be classified as Chiari I-type headache. Following FMD, 42/57 (73.7%) of all presenting headaches showed a sustained improvement (>3 months) compared with 32/39 (82.1%) of Chiari I-type headaches. Duraplasty led to a sustained improvement in headache in 32/38 (84.2%) cases compared with 9/16 (56.3%) cases treated with bone-only decompression.ConclusionsOur data suggest that 80% of headaches classified as Chiari I-type will show a sustained improvement following FMD, and, as such, the IHS criteria are clinically useful in evaluating symptoms attributable to CIM. For all headaches associated with CIM, duraplasty may confer a benefit in terms of long-term improvement, compared with bone-only decompression. |
تدمد: | 1468-2044 |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8f40ae6f5482a99c31b56d151a50be42Test https://pubmed.ncbi.nlm.nih.gov/28082322Test |
رقم الانضمام: | edsair.doi.dedup.....8f40ae6f5482a99c31b56d151a50be42 |
قاعدة البيانات: | OpenAIRE |
ResultId |
1 |
---|---|
Header |
edsair OpenAIRE edsair.doi.dedup.....8f40ae6f5482a99c31b56d151a50be42 797 3 unknown 796.791137695313 |
PLink |
https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=edsair&AN=edsair.doi.dedup.....8f40ae6f5482a99c31b56d151a50be42&custid=s6537998&authtype=sso |
FullText |
Array
(
[Availability] => 0
)
|
Items |
Array
(
[Name] => Title
[Label] => Title
[Group] => Ti
[Data] => Headache outcomes in children undergoing foramen magnum decompression for Chiari I malformation
)
Array ( [Name] => Author [Label] => Authors [Group] => Au [Data] => <searchLink fieldCode="AR" term="%22Prab+Prabhakar%22">Prab Prabhakar</searchLink><br /><searchLink fieldCode="AR" term="%22Kshitij+Mankad%22">Kshitij Mankad</searchLink><br /><searchLink fieldCode="AR" term="%22Dominic+Thompson%22">Dominic Thompson</searchLink><br /><searchLink fieldCode="AR" term="%22Saba+Raza-Knight%22">Saba Raza-Knight</searchLink> ) Array ( [Name] => TitleSource [Label] => Source [Group] => Src [Data] => <i>Archives of disease in childhood</i>. 102(3) ) Array ( [Name] => DatePubCY [Label] => Publication Year [Group] => Date [Data] => 2016 ) Array ( [Name] => Subject [Label] => Subject Terms [Group] => Su [Data] => <searchLink fieldCode="DE" term="%22Male%22">Male</searchLink><br /><searchLink fieldCode="DE" term="%22medicine%2Emedical%5Fspecialty%22">medicine.medical_specialty</searchLink><br /><searchLink fieldCode="DE" term="%22Ihs+criteria%22">Ihs criteria</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent%22">Adolescent</searchLink><br /><searchLink fieldCode="DE" term="%22Decompression%22">Decompression</searchLink><br /><searchLink fieldCode="DE" term="%22Headache+Disorders%22">Headache Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Posterior+fossa%22">Posterior fossa</searchLink><br /><searchLink fieldCode="DE" term="%2203+medical+and+health+sciences%22">03 medical and health sciences</searchLink><br /><searchLink fieldCode="DE" term="%220302+clinical+medicine%22">0302 clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Chiari+I+malformation%22">Chiari I malformation</searchLink><br /><searchLink fieldCode="DE" term="%22030225+pediatrics%22">030225 pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22medicine%22">medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22Foramen+Magnum%22">Foramen Magnum</searchLink><br /><searchLink fieldCode="DE" term="%22Child%22">Child</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+Studies%22">Retrospective Studies</searchLink><br /><searchLink fieldCode="DE" term="%22Foramen+magnum%22">Foramen magnum</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+review%22">Retrospective review</searchLink><br /><searchLink fieldCode="DE" term="%22business%2Eindustry%22">business.industry</searchLink><br /><searchLink fieldCode="DE" term="%22Infant%2C+Newborn%22">Infant, Newborn</searchLink><br /><searchLink fieldCode="DE" term="%22Infant%22">Infant</searchLink><br /><searchLink fieldCode="DE" term="%22Decompression%2C+Surgical%22">Decompression, Surgical</searchLink><br /><searchLink fieldCode="DE" term="%22Surgery%22">Surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Arnold-Chiari+Malformation%22">Arnold-Chiari Malformation</searchLink><br /><searchLink fieldCode="DE" term="%22medicine%2Eanatomical%5Fstructure%22">medicine.anatomical_structure</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+Outcome%22">Treatment Outcome</searchLink><br /><searchLink fieldCode="DE" term="%22Child%2C+Preschool%22">Child, Preschool</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%2C+Perinatology+and+Child+Health%22">Pediatrics, Perinatology and Child Health</searchLink><br /><searchLink fieldCode="DE" term="%22Female%22">Female</searchLink><br /><searchLink fieldCode="DE" term="%22Dura+Mater%22">Dura Mater</searchLink><br /><searchLink fieldCode="DE" term="%22Headaches%22">Headaches</searchLink><br /><searchLink fieldCode="DE" term="%22medicine%2Esymptom%22">medicine.symptom</searchLink><br /><searchLink fieldCode="DE" term="%22business%22">business</searchLink><br /><searchLink fieldCode="DE" term="%22030217+neurology+%26+neurosurgery%22">030217 neurology & neurosurgery</searchLink> ) Array ( [Name] => Abstract [Label] => Description [Group] => Ab [Data] => ObjectiveA common symptom of Chiari I malformation (CIM) is headache, which is diagnosed using non-validated criteria from the International Headache Society (IHS). CIM-associated headaches should resolve following neurosurgical treatment of the malformation by foramen magnum decompression (FMD). We aimed to validate the IHS criteria and determine (1) the efficacy of FMD in treating headache and (2) whether duraplasty confers an advantage over simple bony decompression in the treatment of this symptom.MethodsA retrospective review of CIM cases treated with FMD at Great Ormond Street Hospital from 1989 to 2014 was carried out. Clinical headache characteristics were compared against IHS criteria and correlated with outcome following FMD.ResultsHeadache was a presenting symptom in 57/102 (55.9%) of patients. Of these, 42/57 (73.7%) could be classified as Chiari I-type headache. Following FMD, 42/57 (73.7%) of all presenting headaches showed a sustained improvement (>3 months) compared with 32/39 (82.1%) of Chiari I-type headaches. Duraplasty led to a sustained improvement in headache in 32/38 (84.2%) cases compared with 9/16 (56.3%) cases treated with bone-only decompression.ConclusionsOur data suggest that 80% of headaches classified as Chiari I-type will show a sustained improvement following FMD, and, as such, the IHS criteria are clinically useful in evaluating symptoms attributable to CIM. For all headaches associated with CIM, duraplasty may confer a benefit in terms of long-term improvement, compared with bone-only decompression. ) Array ( [Name] => ISSN [Label] => ISSN [Group] => ISSN [Data] => 1468-2044 ) Array ( [Name] => URL [Label] => Access URL [Group] => URL [Data] => <link linkTarget="URL" linkTerm="https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8f40ae6f5482a99c31b56d151a50be42" linkWindow="_blank">https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8f40ae6f5482a99c31b56d151a50be42</link><br /><link linkTarget="URL" linkTerm="https://pubmed.ncbi.nlm.nih.gov/28082322" linkWindow="_blank">https://pubmed.ncbi.nlm.nih.gov/28082322</link> ) Array ( [Name] => AN [Label] => Accession Number [Group] => ID [Data] => edsair.doi.dedup.....8f40ae6f5482a99c31b56d151a50be42 ) |
RecordInfo |
Array
(
[BibEntity] => Array
(
[Languages] => Array
(
[0] => Array
(
[Text] => Undetermined
)
)
[Subjects] => Array
(
[0] => Array
(
[SubjectFull] => Male
[Type] => general
)
[1] => Array
(
[SubjectFull] => medicine.medical_specialty
[Type] => general
)
[2] => Array
(
[SubjectFull] => Ihs criteria
[Type] => general
)
[3] => Array
(
[SubjectFull] => Adolescent
[Type] => general
)
[4] => Array
(
[SubjectFull] => Decompression
[Type] => general
)
[5] => Array
(
[SubjectFull] => Headache Disorders
[Type] => general
)
[6] => Array
(
[SubjectFull] => Posterior fossa
[Type] => general
)
[7] => Array
(
[SubjectFull] => 03 medical and health sciences
[Type] => general
)
[8] => Array
(
[SubjectFull] => 0302 clinical medicine
[Type] => general
)
[9] => Array
(
[SubjectFull] => Chiari I malformation
[Type] => general
)
[10] => Array
(
[SubjectFull] => 030225 pediatrics
[Type] => general
)
[11] => Array
(
[SubjectFull] => medicine
[Type] => general
)
[12] => Array
(
[SubjectFull] => Humans
[Type] => general
)
[13] => Array
(
[SubjectFull] => Foramen Magnum
[Type] => general
)
[14] => Array
(
[SubjectFull] => Child
[Type] => general
)
[15] => Array
(
[SubjectFull] => Retrospective Studies
[Type] => general
)
[16] => Array
(
[SubjectFull] => Foramen magnum
[Type] => general
)
[17] => Array
(
[SubjectFull] => Retrospective review
[Type] => general
)
[18] => Array
(
[SubjectFull] => business.industry
[Type] => general
)
[19] => Array
(
[SubjectFull] => Infant, Newborn
[Type] => general
)
[20] => Array
(
[SubjectFull] => Infant
[Type] => general
)
[21] => Array
(
[SubjectFull] => Decompression, Surgical
[Type] => general
)
[22] => Array
(
[SubjectFull] => Surgery
[Type] => general
)
[23] => Array
(
[SubjectFull] => Arnold-Chiari Malformation
[Type] => general
)
[24] => Array
(
[SubjectFull] => medicine.anatomical_structure
[Type] => general
)
[25] => Array
(
[SubjectFull] => Treatment Outcome
[Type] => general
)
[26] => Array
(
[SubjectFull] => Child, Preschool
[Type] => general
)
[27] => Array
(
[SubjectFull] => Pediatrics, Perinatology and Child Health
[Type] => general
)
[28] => Array
(
[SubjectFull] => Female
[Type] => general
)
[29] => Array
(
[SubjectFull] => Dura Mater
[Type] => general
)
[30] => Array
(
[SubjectFull] => Headaches
[Type] => general
)
[31] => Array
(
[SubjectFull] => medicine.symptom
[Type] => general
)
[32] => Array
(
[SubjectFull] => business
[Type] => general
)
[33] => Array
(
[SubjectFull] => 030217 neurology & neurosurgery
[Type] => general
)
)
[Titles] => Array
(
[0] => Array
(
[TitleFull] => Headache outcomes in children undergoing foramen magnum decompression for Chiari I malformation
[Type] => main
)
)
)
[BibRelationships] => Array
(
[HasContributorRelationships] => Array
(
[0] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Prab Prabhakar
)
)
)
[1] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Kshitij Mankad
)
)
)
[2] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Dominic Thompson
)
)
)
[3] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Saba Raza-Knight
)
)
)
)
[IsPartOfRelationships] => Array
(
[0] => Array
(
[BibEntity] => Array
(
[Dates] => Array
(
[0] => Array
(
[D] => 10
[M] => 02
[Type] => published
[Y] => 2016
)
)
[Identifiers] => Array
(
[0] => Array
(
[Type] => issn-print
[Value] => 14682044
)
[1] => Array
(
[Type] => issn-locals
[Value] => edsair
)
)
[Numbering] => Array
(
[0] => Array
(
[Type] => volume
[Value] => 102
)
[1] => Array
(
[Type] => issue
[Value] => 3
)
)
[Titles] => Array
(
[0] => Array
(
[TitleFull] => Archives of disease in childhood
[Type] => main
)
)
)
)
)
)
)
|
IllustrationInfo |