Abstract：
BACKGROUND:Brainstem tethering is a rare disease. CASE DESCRIPTION:We report and discuss a 20-year-old patient who experienced paroxysmal apnea (a symptom of Ondine's curse) during sleeping, causing him to wake up and control his breathing consciously. A magnetic resonance imaging study revealed that his medulla oblongata was twisted and displaced posteriorly by an abnormal tissue cord. An operation was performed to detether the tethered brainstem, with a satisfying result reached. CONCLUSION:Brainstem tethering is a rare but late complication of occipital encephalocele with insufficient operation. The symptoms of this disease are related to the dysfunction of the medulla oblongata and their adjunctive nerves. Magnetic resonance imaging can be used to identify the abnormal region and distinguish it from other medulla oblongata diseases. Surgery in the early stage of the brainstem tethering is helpful, but ventriculoperitoneal shunting is unnecessary or cannot be performed before detethering, although these patients usually have ventricular dilation.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Liu Z,He Y,Li S,Wu L,Jiao Qdoi
10.1016/j.wneu.2011.03.020subject
Has Abstractpub_date
2011-12-01 00:00:00pages
592.e11-4issue
6eissn
1878-8750issn
1878-8769pii
S1878-8750(11)00313-5journal_volume
76pub_type
杂志文章abstract：OBJECTIVE:Fusion surgery for lumbar degenerative stenosis is an established treatment mode. Despite comparable patient-related outcomes and radiologic results, the necessity of adding interbody fusion to posterolateral fusion remains controversial. We aimed to compare the clinical and radiologic outcomes of posterolate...
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