Comparison of surgical outcomes in patients with Chiari Type I malformation receiving posterior fossa decompression with and without duraplasty

2020 ◽  
Vol 36 (7) ◽  
pp. 1399-1405
Author(s):  
Samuel Butensky ◽  
Shaun Rodgers ◽  
Shanna Baron ◽  
Steven Schneider ◽  
Mark Mittler
Keyword(s):  
Posterior Fossa ◽  
Surgical Outcomes ◽  
Posterior Fossa Decompression ◽  
Type I ◽  
Chiari Type ◽  
Chiari Type I Malformation ◽  
Chiari Type I

scholarly journals Outcome of Posterior Fossa Decompression for Chiari Type I Malformation with Syringomyelia

2019 ◽  
Vol 16 (1) ◽  
pp. 35-38
Author(s):  
Sagar Koirala ◽  
Suresh Bishokarma ◽  
Dinesh Nath Gongal ◽  
Henry Thomas Marsh
Keyword(s):  
Posterior Fossa ◽  
Chiari I Malformation ◽  
Posterior Fossa Decompression ◽  
Type I ◽  
Chiari Type ◽  
Chiari Type I Malformation ◽  
Tertiary Center ◽  
Clinical And Radiological Outcome ◽  
Chiari I ◽  
Chiari Type I

There are various treatment approaches for treating Chiari type I malformation with syringomyelia. Despite various choices, consensus for one particular approach is lacking. The objective of this study is to find out the clinical and radiological outcome of standard posterior fossa decompression incorporating removal of C1 arch with lax duroplasty in such cases. A retrospective study based on data acquired from a single tertiary center were analyzed. All cases who underwent posterior fossa decompression incorporating removal of C1 arch with lax duroplasty over a period of five years were included and their clinical and radiological progress were recorded during OPD follow up at 6 months. Out of 21 cases, occipital headache with nape of neck pain was the predominant complaint accounting to 71% followed by sensory symptoms and motor weakness, 61% and 33% respectively. Pain resolved in 93%, weakness in 71% and sensory symptoms in 69% of the cases. Only one patient developed hydrocephalus requiring shunting. Radiological improvement of syringomyelia were documented in 76.1% of the patients. There was no mortality. Posterior fossa decompression incorporating removal of C1 arch and lax duroplasty is a safe approach with good outcome in patients with Chiari I malformation with syringomyelia.

scholarly journals Interscapular pain with Chiari Type I malformation attributed to atypical spinal accessory neuralgia

2021 ◽  
Vol 12 ◽  
pp. 226
Author(s):  
Anoop Kumar Singh ◽  
Gayatri Kumari
Keyword(s):  
Posterior Fossa ◽  
Microvascular Decompression ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Posterior Fossa Decompression ◽  
Type I ◽  
Chiari Type ◽  
Spinal Accessory ◽  
Chiari Type I Malformation ◽  
Chiari Type I

Background: The spinal accessory nerve (XI) is traditionally considered a motor nerve. However, as some studies have documented the presence of nociceptive fibers in XI, vascular XI neural compression may lead to an atypical neuralgia. Case Description: A 27-year-old male presented with a Chiari Type I malformation contributing to interscapular pain. Following a posterior fossa and microvascular decompression of XI, the patient improved, thus confirming the underlying diagnosis of a XI atypical neuralgia. Conclusion: Unilateral, posterior-interscapular deep pain may be due to an atypical spinal accessory nerve (XI) neuralgia rather than a Chiari Type I malformation or syrinx. Posterior fossa decompression, subpial tonsillar resection, and XI nerve microvascular decompression resolved this patient’s complaints. In the future, CTA or MRA vascular studies along with a balanced steady-state gradient echo MRI sequence would be better to document the presence of XI nerve neurovascular compromise.

scholarly journals Acute Visual Loss Secondary to Arnold Chiari Type I Malformation Completely Resolving After Decompressive Posterior Fossa Surgery

2020 ◽  
Vol Volume 13 ◽  
pp. 657-661
Author(s):  
Chrysoula Florou ◽  
Konstantinos Andreanos ◽  
Nikos Georgakoulias ◽  
Edroulfo Espinosa ◽  
Evangelia Papakonstantinou ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Visual Loss ◽  
Type I ◽  
Posterior Fossa Surgery ◽  
Chiari Type ◽  
Chiari Type I Malformation ◽  
Acute Visual Loss ◽  
Chiari Type I

Acquired Chiari type I malformation managed by expanding posterior fossa volume and literature review

2019 ◽  
Vol 36 (2) ◽  
pp. 235-240 ◽  
Author(s):  
Yong Han ◽  
Min Chen ◽  
Jin Xu ◽  
Yongqiang Wang ◽  
Hangzhou Wang
Keyword(s):  
Literature Review ◽  
Posterior Fossa ◽  
Type I ◽  
Chiari Type ◽  
Chiari Type I Malformation ◽  
Chiari Type I

scholarly journals Multimodal Analgesia After Posterior Fossa Decompression With and Without Duraplasty for Children With Chiari Type I

2020 ◽  
Vol 10 (5) ◽  
pp. 447-451
Author(s):  
Belinda Shao ◽  
Abdul A. Tariq ◽  
Hannah E. Goldstein ◽  
Nikita G. Alexiades ◽  
Krista M. Mar ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Multimodal Analgesia ◽  
Posterior Fossa Decompression ◽  
Type I ◽  
Chiari Type ◽  
Chiari Type I
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