Deformation of the cervicomedullary junction and spinal cord in a surgically treated adult Chiari I hindbrain hernia associated with syringomyelia: a magnetic resonance microscopic and neuropathological study. Case report.

Abstract:

:The lower brainstem and cervical spinal cord from an ordinarily treated case of Chiari Type I hindbrain hernia associated with syringomyelia was examined using high-resolution magnetic resonance microscopy and standard neuropathological techniques. Magnetic resonance microscopy allows total screening and visualizes the disturbed internal and external microanatomy in the three orthogonal planes with the resolution of low-power optical microscopy. An additional advantage is the in situ visualization of the shunts. Afterwards the intact specimen is still available for microscopic examination. Part of the deformation of the medulla is caused by chronic tonsillar compression and molding inside the foramen magnum. Other anomalies, such as atrophy caused by demyelination, elongation, and unusual disturbances at the level of the trigeminal and solitary nuclear complexes contribute to the deformation. At the level of the syrinx-free upper part of the cervical cord, anomalies of the dorsal root and the dorsal horn are demonstrated.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Beuls EA,Vandersteen MA,Vanormelingen LM,Adriaensens PJ,Freling G,Herpers MJ,Gelan JM

doi

10.3171/jns.1996.85.4.0701

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

701-8

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

85

pub_type

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