Aim: There have been several treatment modalities to reduce the volume of the syringomyelic cavity and the pressure on the brainstem in Chiari Malformation Type I (CM-I). Foramen magnum decompression with and without duroplasty were compared in this retrospective study.
Material And Methods: From 2003 to 2006, 27 patients suffering from CMI were operated on at our institute. The following were measured: the ratio of the syringomyelic cavity to the spinal cord; pre-operative tonsillar herniation from the foramen magnum; pre- and postoperative tonsillo-dural distance; and spinoposterior fossa dural angle.
Results: 83.3 % of the patients in the non-duroplasty and 73.3% of the patients in the duroplasty group were symptom free. The ratio of syrinx regression was 28+/-10% in the non-duroplasty and 36+/-33% in the duroplasty group. The tonsillodural distance was 3.1+/-1.8 mm in the non-duroplasty and 4.6+/-2.1 mm in the duroplasty group (p>0.05). The spino-posterior fossa dural angle was 133.6+/-9.44 degrees preoperatively and 136.7+/-9.78 degrees postoperatively in the non-duroplasty (p=0.376); 123.7+/-11.7 degrees preoperatively and 129.8+/-11.1 degrees postoperatively in the duroplasty group (p=0.885); no significant difference was found postoperatively (p=0.55, z=1.92), respectively. One patient was re-operated in the non-duroplasty group and thereafter duroplasty was performed.
Conclusion: Almost the same clinical outcomes can be achieved with and without duroplasty. There might be an option to perform duroplasty if simple procedure fails.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.5137/1019-5149.JTN.2648-09.2 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Comparative Analysis of Duroplasty Techniques in Decompressive Craniectomy: The CANDID Study.
Oper Neurosurg (Hagerstown)
August 2024
Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Background And Objective: At present, there is no consensus regarding the most optimal dural substitute to use for duroplasty in primary decompressive craniectomy (PDC) for traumatic brain injury (TBI). The author's objective was to conduct a retrospective analysis comparing 2 techniques of PDC: duroplasty using anterior-based vascularized galea pericranium (VP group) with synthetic dural substitute duroplasty (SR group).
Methods: From April 2015 to February 2022, 379 craniotomies were done for TBI.
Posterior spinal decompression in adults with spinal cord injury without traumatic compromise of the spinal canal: what is the data?
Front Neurol
September 2023
Department of Neurosurgery and Neurotraumatology, "Attikon" University General Hospital, National and Kapodistrian University of Athens, Athens Medical School, Athens, Greece.
Background: Spinal cord injury (SCI) can be caused by a variety of factors and its severity can range from a mild concussion to a complete severing of the spinal cord. Τreatment depends on the type and severity of injury, the patient's age and overall health. Reduction of dislocated or fractured vertebrae via closed manipulation or surgical procedures, fixation and removal of bony fragments and debris that compromise the spinal canal are indicated for decompression of the spinal cord and stabilization of the spine.
View Article and Find Full Text PDFRisk Factor Analysis of Cryopreserved Autologous Bone Flap Resorption in Adult Patients Undergoing Cranioplasty with Volumetry Measurement Using Conventional Statistics and Machine-Learning Technique.
J Korean Neurosurg Soc
January 2024
Department of Neurosurgery, Dankook University Hospital, Cheonan, Korea.
Objective: Decompressive craniectomy (DC) with duroplasty is one of the common surgical treatments for life-threatening increased intracranial pressure (ICP). Once ICP is controlled, cranioplasty (CP) with reinsertion of the cryopreserved autologous bone flap or a synthetic implant is considered for protection and esthetics. Although with the risk of autologous bone flap resorption (BFR), cryopreserved autologous bone flap for CP is one of the important material due to its cost effectiveness.
View Article and Find Full Text PDFForamen magnum decompression for Chiari malformation type I - UK surgical practice.
Br J Neurosurg
December 2022
Department of Neurosurgery, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
Symptomatic Chiari 1 malformation (CM1) is a common condition in Neurosurgery. Surgery involves hindbrain decompression and restoration of CSF flow through different surgical approaches. No Class 1 evidence exists to suggest the superiority of any of the surgical techniques.
View Article and Find Full Text PDFDecompressive hinge craniectomy with linear durotomies for ischemic stroke: a pilot study.
Rev Assoc Med Bras (1992)
June 2021
Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas - São Paulo (SP), Brazil.
Objective: Decompressive craniectomy may be a life-saving measure in ischemic stroke patients, who still have several associated complications. The objective of this study is to evaluate a novel decompressive surgery technique for severe hemispheric ischemic stroke.
Methods: For the hinge decompressive craniectomy (HDC), linear durotomies were performed.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!