The complex Chiari: issues and management strategies
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Douglas L. Brockmeyer
- چاپ و سال / کشور: 2011
Description
‘‘Complex Chiari’’ malformations may be defined as cerebellar tonsil herniation combined with one or more of the following radiographic findings: brainstem herniation through the foramen magnum (Chiari 1.5 malformation), medullary kink, retroflexed odontoid, abnormal clival-cervical angle, occipitalization of the atlas, basilar invagination, syringomyelia or scoliosis. Patients with ‘‘complex Chiari’’ malformation are different from those with typical Chiari 1 malformation in that their management strategy has a higher chance of including other operative interventions aside from a typical suboccipital decompression. These other operative procedures include odontoid resection and craniocervical fusion. This paper outlines specific scenarios where these other operative procedures must be considered and carried out
Neurol Sci DOI 10.1007/s10072-011-0690-5 Springer-Verlag 2011
