Abstract:
:Syringomyelia, once regarded as a degenerative disease of adults, is now recognized to be a disorder usually associated with the Chiari malformation and occurring in patients of all ages. We have reviewed 47 patients with syringomyelia treated on the Neurosurgical Service at the Hospital for Sick Children during the years 1977 to 1985. Twelve of these patients had a Chiari I malformation, 30 had a Chiari II malformation, and 5 had an acquired Chiari malformation. Thirty-one of these patients were treated by decompression of the Chiari malformation and plugging of the obex, 5 were treated by a simple posterior fossa decompression, 9 were treated by shunting of the syringomyelic cavity, and 2 were treated by a combined decompression of the posterior fossa and shunting of the syrinx. The Gardner procedure (decompression of the Chiari malformation and plugging of the obex) was the procedure most commonly used in managing our group of patients and resulted in improvement in over 70% of patients.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Hoffman HJ,Neill J,Crone KR,Hendrick EB,Humphreys RPdoi
10.1227/00006123-198709000-00012subject
Has Abstractpub_date
1987-09-01 00:00:00pages
347-51issue
3eissn
0148-396Xissn
1524-4040journal_volume
21pub_type
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