Foramen Magnum Decompression for Syringomyelia Associated with Basilar Impression and Chiari I Malformation : Report of Three Cases
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概要
- 論文の詳細を見る
Anterior or posterior decompression of the foramen magnum was performed in three patients with syringomyelia associated with basilar impression and Chiari I malformation. The operative results were evaluated using the pre- and postoperative magnetic resonance (MR) images. Two patients with combined anterior and posterior cervicomedullary compression due to basilar impression and tonsillar descent received suboccipital craniectomy, upper cervical laminectomy, and dural plasty without any intradural manipulations via the posterior approach. One patient with prominent anterior cervicomedullary compression due to basilar impression and a sharp clivoaxial angle was operated on by the transoral anterior approach. Postoperatively, all patients showed a sustained shrinkage of the syrinx and rounding of the flattened cerebellar tonsils. Two patients showed upward movement of the herniated tonsils. All patients had improved symptoms during 2-4 years follow-up. Treatment of syringomyelia associated with basilar impression and Chiari I malformation requires more efficient decompressive procedures at the foramen magnum based on neurological and MR findings.
- 日本脳神経外科学会の論文
- 1991-11-15
著者
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NAKAMURA Hisashi
Department of Earth and Planetary Science, University of Tokyo
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Sadamoto Kazuhiko
Department of Neurosurgery, Washokai Sadamoto Hospital
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SAKAKI Saburo
Department of Neurosurgery,Osaka Koseinenkin Hospital
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KOHNO Kanehisa
Departments of Neurological Surgery, Ehime University School of Medicine
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TAKEDA Sadanori
Department of Neurological Surgery, Saiseikai Imabari Hospital
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SAKOH Masaharu
Department of Neurosurgery, Ehime University School of Medicine
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Sadamoto Kazuhiko
Department Of Internal Medicine Washokai Sadamoto Hospital
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Sakoh Masaharu
Department Of Neurosurgery Ehime University School Of Medicine
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Kohno Kanehisa
Department Of Neurosurgery Ehime University School Of Medicine
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Sakaki Saburo
Department Of Neurosurgery Ehime University School Of Medicine
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Sakaki Saburo
Department Of Neurological Surgery Ehime University Medical School
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Kohno Kanehisa
Department Of Neurological Surgery Ehime University School Of Medicine
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Takeda Sadanori
Department Of Neurological Surgery Saiseikai Imabari Hospital
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Takeda Sadanori
Department Of Neurosurgery Washokai Sadamoto Hospital
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Nakamura Hisashi
Department Of Earth And Planetary Science The University Of Tokyo:frontier Research Center For Globa
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Nakamura Hisashi
Department Of Neurosurgery Ehime University School Of Medicine
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Sadamoto Kazuhiko
Department Of Bone And Joint Surgery Ehime University Graduate School Of Medicine
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