Hydrosyringomyelia and its management in childhood.

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

Neurosurgery

journal_title

Neurosurgery

authors

Hoffman HJ,Neill J,Crone KR,Hendrick EB,Humphreys RP

doi

10.1227/00006123-198709000-00012

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

347-51

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

21

pub_type

杂志文章
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