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[PMID]:29236893
[Au] Autor:Palacios-Sánchez L; Botero-Meneses JS; Vélez-Flórez MC
[Ad] Endereço:Universidad del Rosario, School of Medicine and Health Sciences, Neuroscience Research Group (Neuros), Neuroscience Department, Bogotá, Colombia.
[Ti] Título:Pan, Syrinx and syringomyelia.
[So] Source:Arq Neuropsiquiatr;75(12):890-891, 2017 Dec.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Many myths and legends have had a deep influence on modern language, and on modern medical vernacular. The terms "syrinx" and "panic"are two of the most characteristic examples and their use in neurology and other specialties is well known. This article reviews the history of these words in Greek mythology and their use in modern medicine. It is known by very few that clinical symptoms or conditions, such as syringomyelia and panic attacks, have a mythological origin in their definition and naming.
[Mh] Termos MeSH primário: Mitologia
Pânico
Siringomielia
Terminologia como Assunto
[Mh] Termos MeSH secundário: Grécia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:28934242
[Au] Autor:Wijnrocx K; Van Bruggen LWL; Eggelmeijer W; Noorman E; Jacques A; Buys N; Janssens S; Mandigers PJJ
[Ad] Endereço:KU Leuven Department of Biosystems, Livestock Genetics, Leuven, Belgium.
[Ti] Título:Twelve years of chiari-like malformation and syringomyelia scanning in Cavalier King Charles Spaniels in the Netherlands: Towards a more precise phenotype.
[So] Source:PLoS One;12(9):e0184893, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Chiari-like malformation (CM), syringomyelia (SM) and middle ear effusion (also called PSOM) are three conditions that frequently occur in Cavalier King Charles Spaniels (CKCS). Both CM and SM are currently screened in the Netherlands prior to breeding and are graded according to the British Veterinary Association's Kennel Club (BVA/KC) scheme. This study evaluated the prevalence and estimated genetic parameter of CM, SM and middle ear effusion from 12 years of screening results. For SM, the classical method using the BVA/KC scheme, was compared with exact measuring of the central canal dilation. For CM, the BVA/KC scheme was compared with a more detailed scheme. Next to this the presence of microchip artifacts was assessed. 1249 screening of 1020 dogs were re-evaluated. Results indicated the presence of CM in all dogs, suggesting it has become a breed-specific characteristic. And although different grades of CM were observed, the condition did not deteriorate over time. SM was present in 39% of the dogs and a clear age effect was demonstrated, with SM increasing with age. This emphasizes the importance of screening at appropriate age, since SM can worsen with increasing age. One alternative is to promote repeated measures. The presence of middle ear effusion in this study was 19%-21% for dogs younger than 3 years, and 32%-38% for dogs older than 3 years. In as much as 60%, microchip artifacts were noticed, leading to the recommendation to place microchips in another location in breeds that are susceptible to developing SM. Finally, this study estimated the heritability of CM in this population, due to the lack of phenotypic variance, to be very low at 0.02-0.03. The heritability for SM central canal dilatation to be 0.30, compared to 0.13 for the classical BVA/KC method, using a model including the age effect and the combined effect of veterinary clinic and year of the evaluation. Genetic correlations were rather small, ranging from 0.16-0.33. As a conclusion, screening for SM and CM in the entire population should be maintained, and a selection scheme against SM should be based on estimated breeding values for the exact measurement of the central canal dilatation.
[Mh] Termos MeSH primário: Malformação de Arnold-Chiari/veterinária
Doenças do Cão/diagnóstico por imagem
Imagem por Ressonância Magnética
Otite Média com Derrame/veterinária
Siringomielia/veterinária
[Mh] Termos MeSH secundário: Fatores Etários
Animais
Malformação de Arnold-Chiari/diagnóstico por imagem
Malformação de Arnold-Chiari/genética
Artefatos
Cruzamento
Doenças do Cão/genética
Cães
Testes Genéticos
Países Baixos
Otite Média com Derrame/diagnóstico por imagem
Otite Média com Derrame/genética
Fenótipo
Característica Quantitativa Herdável
Índice de Gravidade de Doença
Especificidade da Espécie
Siringomielia/diagnóstico por imagem
Siringomielia/genética
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170922
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184893


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[PMID]:28865227
[Au] Autor:Holak P; Glodek J; Mieszkowska M; Jalynski M; Zhalniarovich Y; Adamiak Z
[Ad] Endereço:.
[Ti] Título:Pathological findings in low-field magnetic resonance imaging of the canine spine - a study of 112 patients.
[So] Source:Pol J Vet Sci;20(2):285-291, 2017 Mar 01.
[Is] ISSN:1505-1773
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Magnetic resonance imaging (MRI) is a method of choice in diagnosing nervous system disorders. This paper presents the results of a study where selected segments of the canine spine were examined by low-field MRI in 112 patients. Images of pathological changes were obtained in spin echo (SE), fast spin echo (FSE) and hybrid contrast enhancement (3D HYCE) sequences. The cervical region of the spinal cord (C1-C5) was examined in 32 patients, the cervicothoracic region (C6-Th2)- in 14 patients, the thoracolumbar region (Th3-L3) - in 23 patients, and the lumbosacral region (L4-S3) - in 43 patients. The results were used to determine the incidence of pathological changes in different sections of the canine spine, such as intervertebral disc disease (IDD), disc desiccation, syringomyelia and changes characterized by higher uptake of the contrast medium. Intervertebral disc disease was diagnosed in 52.7% of patients and it was the most common abnormality. Disc dehydratation without protrusion or extrusion was noted in 23.2% of animals. Pathological changes with increased uptake of the contrast medium and indicative of neoplastic growth were observed in 13.4% of patients and syringomyelia was diagnosed in 9.82% of the examined animals. The proposed sequences revealed the presence of above abnormalities.
[Mh] Termos MeSH primário: Doenças do Cão/diagnóstico por imagem
Degeneração do Disco Intervertebral/veterinária
Imagem por Ressonância Magnética/veterinária
Coluna Vertebral/patologia
Siringomielia/veterinária
[Mh] Termos MeSH secundário: Animais
Doenças do Cão/patologia
Cães
Degeneração do Disco Intervertebral/diagnóstico por imagem
Degeneração do Disco Intervertebral/patologia
Siringomielia/diagnóstico por imagem
Siringomielia/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170903
[St] Status:MEDLINE


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[PMID]:28598915
[Au] Autor:Garvey GP; Wasade VS; Murphy KE; Balki M
[Ad] Endereço:From the *Department of Anesthesia and Pain Management, University of Toronto, Mount Sinai Hospital, Toronto, Canada; and †Department of Neurology, Henry Ford Hospital, Detroit, Michigan; ‡Department of Obstetrics and Gynaecology and §Division of Maternal and Fetal Medicine, University of Toronto, Mount Sinai Hospital, Toronto, Canada.
[Ti] Título:Anesthetic and Obstetric Management of Syringomyelia During Labor and Delivery: A Case Series and Systematic Review.
[So] Source:Anesth Analg;125(3):913-924, 2017 Sep.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Syringomyelia is a rare, slowly progressive neurological condition characterized by the presence of a syrinx within the spinal cord. Consensus regarding the safest mode of delivery and anesthetic management in patients with syringomyelia remains controversial and presents management dilemmas. This study reviews the cases of syringomyelia at our institution and provides a systematic review of the literature to guide decisions regarding labor and delivery management. METHODS: A retrospective review of cases at our hospital from 2002 to 2014 and a systematic review of the literature from 1946 to 2014 were undertaken. Hospital records and electronic databases were interrogated using International Classification of Diseases, 10th Revision codes and the keywords "syringomyelia," "syringobulbia," and "pregnancy." Data regarding demographics, diagnosis, radiology reports, neurological symptoms, mode of delivery, anesthetic management, and maternal-fetal outcomes were collected. RESULTS: We collected and analyzed data on a total of 43 pregnancies in 39 patients. The most common location for syrinx was in the cervicothoracic region (41.9%). The large majority of patients (n = 34; 87%) demonstrated signs and symptoms associated with syringomyelia before delivery. Syringomyelia associated with Arnold Chiari malformation was documented in 49% (n = 21) cases. General anesthesia was the most commonly used (n = 21/30, 70%) anesthetic technique for cesarean delivery. The majority (n = 9/13, 69%) of patients had an epidural sited for labor analgesia. There were no maternal or neonatal complications associated with neuraxial anesthesia; however, 3 cases (14%) raised concerns regarding general anesthesia including difficult intubation, transient worsening of neurological symptoms postpartum, and prolonged muscle paralysis after atracurium. CONCLUSIONS: Despite concerns regarding aggravation of the syrinx with vaginal delivery, this mode of delivery has never caused any documented long-term worsening of neurological condition. All techniques of anesthesia have been performed successfully without major lasting complications. All cases necessitate patient counseling and individualized multidisciplinary involvement to ensure maternal safety.
[Mh] Termos MeSH primário: Parto Obstétrico/métodos
Trabalho de Parto
Manejo da Dor/métodos
Siringomielia/epidemiologia
Siringomielia/terapia
[Mh] Termos MeSH secundário: Adulto
Analgésicos/administração & dosagem
Feminino
Seres Humanos
Recém-Nascido
Trabalho de Parto/efeitos dos fármacos
Trabalho de Parto/fisiologia
Gravidez
Siringomielia/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Analgesics)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000001987


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[PMID]:28587601
[Au] Autor:Olsen E; Suiter EJ; Pfau T; McGonnell IM; Matiasek K; Giejda A; Volk HA
[Ad] Endereço:Department of Clinical Science and Services, The Royal Veterinary College, Hawkshead Lane, Hatfield, AL9 7TA, UK. eo@sund.ku.dk.
[Ti] Título:Cavalier King Charles Spaniels with Chiari-like malformation and Syringomyelia have increased variability of spatio-temporal gait characteristics.
[So] Source:BMC Vet Res;13(1):159, 2017 Jun 06.
[Is] ISSN:1746-6148
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Chiari-like malformation in the Cavalier King Charles Spaniel is a herniation of the cerebellum and brainstem into or through the foramen magnum. This condition predisposes to Syringomyelia; fluid filled syrinxes within the spinal cord. The resulting pathology in spinal cord and cerebellum create neuropathic pain and changes in gait. This study aims to quantify the changes in gait for Cavalier King Charles Spaniel with Chiari-like malformation and Syringomyelia. METHODS: We compared Cavalier King Charles Spaniel with Chiari-like malformation with (n = 9) and without (n = 8) Syringomyelia to Border Terriers (n = 8). Two video cameras and manual tracking was used to quantify gait parameters. RESULTS AND CONCLUSIONS: We found a significant increase in coefficient of variation for the spatio-temporal characteristics and ipsilateral distance between paws and a wider base of support in the thoracic limbs but not in the pelvic limbs for Cavalier King Charles Spaniels compared with the border terrier.
[Mh] Termos MeSH primário: Malformação de Arnold-Chiari/veterinária
Doenças do Cão/fisiopatologia
Marcha
Siringomielia/veterinária
[Mh] Termos MeSH secundário: Animais
Malformação de Arnold-Chiari/complicações
Malformação de Arnold-Chiari/fisiopatologia
Cães
Feminino
Masculino
Especificidade da Espécie
Siringomielia/complicações
Siringomielia/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170608
[St] Status:MEDLINE
[do] DOI:10.1186/s12917-017-1077-5


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[PMID]:28583457
[Au] Autor:Janjua MB; Ivasyk I; Greenfield JP
[Ad] Endereço:Department of Neurological Surgery, Weill Cornell Medical College And New York Presbyterian Hospital, New York, New York, USA. Electronic address: mburhanj@gmail.com.
[Ti] Título:Vertebrobasilar Insufficiency Due to Distal Posterior Inferior Cerebellar Artery Compression in Chiari 1.5.
[So] Source:World Neurosurg;104:1050.e1-1050.e6, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Chiari malformation is characterized by radiographic evidence of herniation of cerebellar tonsils below the foramen magnum and a symptom complex of headaches; breathing, swallowing, or sleep difficulties; ataxia; restless; and motor and/or sensory deficits. CASE DESCRIPTION: We report a case of a 34-year-old woman whose imaging indicated a Chiari 1.5 with brainstem (caudal medulla) herniation and an expansive cervical syrinx. Her symptom complex showed signs both of cervical syringomyelia, as well as ones localizable to the medulla. An intradural exploration revealed the occlusion and caudal displacement of the loop of the right posterior inferior cerebellar artery, which was later confirmed via magnetic resonance angiography. CONCLUSIONS: In the setting of severe Chiari malformations, particularly the Chiari 1.5 variant, assessment of the posterior fossa vasculature may be useful in defining a subset of patients with preoperative compromise in posterior fossa blood flow and postoperative expectations. Preoperative planning and exploration of midline dorsal brain stem along with the tonsilomedullary fissure could be helpful for contribution of vascular pathology among Chiari symptoms complex in these patients.
[Mh] Termos MeSH primário: Malformação de Arnold-Chiari/cirurgia
Cerebelo/irrigação sanguínea
Encefalocele/cirurgia
Siringomielia/cirurgia
Insuficiência Vertebrobasilar/cirurgia
[Mh] Termos MeSH secundário: Adulto
Malformação de Arnold-Chiari/complicações
Angiografia Cerebral
Descompressão Cirúrgica
Encefalocele/etiologia
Feminino
Seres Humanos
Angiografia por Ressonância Magnética
Bulbo
Procedimentos Neurocirúrgicos
Siringomielia/complicações
Insuficiência Vertebrobasilar/diagnóstico por imagem
Insuficiência Vertebrobasilar/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170607
[St] Status:MEDLINE


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[PMID]:28566405
[Au] Autor:Pereira EAC; Oxenham M; Lam KS
[Ad] Endereço:University of London, London SW17 0RE, UK.
[Ti] Título:Intraspinal anomalies in early-onset idiopathic scoliosis.
[So] Source:Bone Joint J;99-B(6):829-833, 2017 Jun.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: In the United Kingdom, lower incidences of intraspinal abnormalities in patients with early onset idiopathic scoliosis have been observed than in studies in other countries. We aimed to determine the rates of these abnormalities in United Kingdom patients diagnosed with idiopathic scoliosis before the age of 11 years. PATIENTS AND METHODS: This retrospective study of patients attending an urban scoliosis clinic identified 71 patients satisfying a criteria of: clinical diagnosis of idiopathic scoliosis; age of onset ten years and 11 months or less; MRI screening for intraspinal abnormalities. United Kingdom census data combined with patient referral data was used to calculate incidence. RESULTS: Mean age at diagnosis was six years with 39 right-sided and 32 left-sided curves. Four patients (5.6%) were found to have intraspinal abnormalities on MRI. These consisted of: two combined Arnold-Chiari type 1 malformations with syrinx; one syrinx with a low lying conus; and one isolated syrinx. Overall annual incidence of early onset idiopathic scoliosis was one out of 182 000 (0.0006%). CONCLUSION: This study reports the lowest rates to date of intraspinal anomalies in patients with early onset idiopathic scoliosis, adding to knowledge regarding current incidences of these abnormalities as well as any geographical variation in the nature of the disease. Cite this article: 2017;99-B:829-33.
[Mh] Termos MeSH primário: Malformações do Sistema Nervoso/diagnóstico por imagem
Escoliose/diagnóstico por imagem
[Mh] Termos MeSH secundário: Distribuição por Idade
Idade de Início
Malformação de Arnold-Chiari/complicações
Malformação de Arnold-Chiari/diagnóstico por imagem
Malformação de Arnold-Chiari/epidemiologia
Criança
Pré-Escolar
Feminino
Seres Humanos
Incidência
Lactente
Imagem por Ressonância Magnética
Masculino
Malformações do Sistema Nervoso/complicações
Malformações do Sistema Nervoso/epidemiologia
Estudos Retrospectivos
Escoliose/complicações
Escoliose/epidemiologia
Siringomielia/complicações
Siringomielia/diagnóstico por imagem
Siringomielia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B6.BJJ-2016-1159.R1


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[PMID]:28524792
[Au] Autor:Hankinson TC; Tuite GF; Moscoso DI; Robinson LC; Torner JC; Limbrick DD; Park TS; Anderson RCE
[Ad] Endereço:Pediatric Neurosurgery, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, and.
[Ti] Título:Analysis and interrater reliability of pB-C2 using MRI and CT: data from the Park-Reeves Syringomyelia Research Consortium on behalf of the Pediatric Craniocervical Society.
[So] Source:J Neurosurg Pediatr;20(2):170-175, 2017 Aug.
[Is] ISSN:1933-0715
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE The distance to the ventral dura, perpendicular to the basion to C2 line (pB-C2), is commonly employed as a measure describing the anatomy of the craniovertebral junction. However, both the reliability among observers and the clinical utility of this measurement in the context of Chiari malformation Type I (CM-I) have been incompletely determined. METHODS Data were reviewed from the first 600 patients enrolled in the Park-Reeves Syringomyelia Research Consortium with CM-I and syringomyelia. Thirty-one cases were identified in which both CT and MRI studies were available for review. Three pediatric neurosurgeons independently determined pB-C2 values using common imaging sequences: MRI (T1-weighted and T2-weighted with and without the inclusion of retro-odontoid soft tissue) and CT. Values were compared and intraclass correlations were calculated among imaging modalities and observers. RESULTS Intraclass correlation of pB-C2 demonstrated strong agreement between observers (intraclass correlation coefficient [ICC] range 0.72-0.76). Measurement using T2-weighted MRI with the inclusion of retro-odontoid soft tissue showed no significant difference with measurement using T1-weighted MRI. Measurements using CT or T2-weighted MRI without retro-odontoid soft tissue differed by 1.6 mm (4.69 and 3.09 mm, respectively, p < 0.05) and were significantly shorter than those using the other 2 sequences. Conclusions pB-C2 can be measured reliably by multiple observers in the context of pediatric CM-I with syringomeyelia. Measurement using T2-weighted MRI excluding retro-odontoid soft tissue closely approximates the value obtained using CT, which may allow for the less frequent use of CT in this patient population. Measurement using T2-weighted MRI including retro-odontoid soft tissue or using T1-weighted MRI yields a more complete assessment of the extent of ventral brainstem compression, but its association with clinical outcomes requires further study.
[Mh] Termos MeSH primário: Atlas Cervical/diagnóstico por imagem
Dura-Máter/diagnóstico por imagem
Imagem por Ressonância Magnética
Crânio/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Mh] Termos MeSH secundário: Malformação de Arnold-Chiari/diagnóstico por imagem
Seres Humanos
Neurocirurgiões
Variações Dependentes do Observador
Tamanho do Órgão
Reprodutibilidade dos Testes
Siringomielia/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE
[do] DOI:10.3171/2017.3.PEDS16604


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[PMID]:28437811
[Au] Autor:Koechlin NO; Abuhusain HJ; Gunawardena M; Auschwitz TS; Teo C
[Ad] Endereço:Centre for Minimally Invasive Neurosurgery, Prince of Wales Private Hospital, Sydney, New South Wales, Australia.
[Ti] Título:Symptomatic Outcome after Bone-only Suboccipital Decompression in Adult Patients with Chiari Type I Malformations in the Absence of Hydromyelia or Hydrocephalus.
[So] Source:J Neurol Surg A Cent Eur Neurosurg;78(4):344-349, 2017 Jul.
[Is] ISSN:2193-6323
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Type I Chiari malformation presents without an associated hydromyelia in 30 to 70% of cases, yet there is no agreement regarding the optimal surgical treatment for these patients. We review our experience for treating symptomatic adult type I Chiari malformation without hydromyelia using a suboccipital bone decompression of the hindbrain and no duraplasty in 12 adult patients. Outcome was measured according to the Chicago Chiari Outcome Scale (CCOS). Nine of 12 patients were female; average age at surgery was 34.4 years (range: 17-67 years). Average duration of symptoms prior to surgery was 9.6 years (2 months-29 years). The most common symptom was head and/or neck pain (11/12 patients). All patients additionally presented with at least one non-pain symptom. Mean degree of tonsillar herniation on magnetic resonance imaging was 6.8 mm (range: 5-12 mm) below McRae's line. Operative time was on average 68 minutes (range: 47-120 minutes). No surgical complications were noted in any patient. Length of hospital stay was 2 days (1 overnight) for all patients. Mean follow-up was 167 weeks (range: 13-378 weeks). CCOS for all patients on average was 14.50 (range: 12-16). Pain symptoms underwent improvement (7/11 [63.6%]) or complete resolution (4/11 [36.4%]) in all affected patients. A shorter duration of preoperative symptoms significantly correlated with a better CCOS ( = 0.03). Degree of tonsillar herniation had no significant effect on CCOS ( = 0.67). Of non-pain symptoms, paresthesias/dysesthesias and visual symptoms improved or resolved completely in all affected patients. No patient experienced a worsening of either pain or non-pain symptoms. In the subset of adult patients with a type I Chiari malformation and no associated hydromyelia, a craniectomy without an additional opening of the dura may achieve good overall results according to the CCOS.
[Mh] Termos MeSH primário: Malformação de Arnold-Chiari/cirurgia
Craniectomia Descompressiva/métodos
Osso Occipital/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Hidrocefalia
Masculino
Meia-Idade
Siringomielia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170425
[St] Status:MEDLINE
[do] DOI:10.1055/s-0037-1599841


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[PMID]:28399105
[Au] Autor:Zuev AA; Kostenko GV
[Ad] Endereço:FGBU 'Natsional'nyj mediko-hirurgicheskij tsentr im. N.I. Pirogova', Moskva, Rossija.
[Ti] Título:[Treatment of syringomyelia associated with Chiari 1 malformation].
[Ti] Título:Lechenie siringomielii u patsientov s anomaliei Kiari..
[So] Source:Zh Nevrol Psikhiatr Im S S Korsakova;117(3):102-106, 2017.
[Is] ISSN:1997-7298
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:Syringomyelia (SM) develops due to the disturbance of cerebrospinal fluid dynamics, spinal fixation or a spinal tumor. The disturbance of cerebrospinal fluid dynamics in the area of the foramen magnum leads to the progression of SM in Chiari 1 malformation (CM1). CM1 is the most prevalent pathology of craniovertebral junction associated with SM. The prevalence of CM1 varies from 3 to 8 per 100 000 population but SM is diagnosed in 65% of patients with CM1. Clinical symptoms of CM1 and SM include pain in the occipital area, gait disturbances due to sensitive ataxia, dissociated sensory disorders, dysphagia, paresis of the extremities. In most patients, symptoms of SM progressed over the years. The diagnosis is based on MRI results of the brain and spinal cord. Phase-contrast MRI is used to study the disturbance of cerebrospinal fluid dynamics in details. Progression of SM or CM1 symptoms needs surgical treatment - decompression of the posterior cranial fossa for the recovery of normal cerebrospinal fluid dynamics.
[Mh] Termos MeSH primário: Malformação de Arnold-Chiari/complicações
Descompressão Cirúrgica
Siringomielia/etiologia
Siringomielia/cirurgia
[Mh] Termos MeSH secundário: Malformação de Arnold-Chiari/epidemiologia
Malformação de Arnold-Chiari/fisiopatologia
Encéfalo/diagnóstico por imagem
Fossa Craniana Posterior
Progressão da Doença
Extremidades
Forame Magno/cirurgia
Marcha
Seres Humanos
Imagem por Ressonância Magnética
Transtornos dos Movimentos/etiologia
Dor/etiologia
Paresia/etiologia
Prevalência
Siringomielia/diagnóstico
Siringomielia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170412
[St] Status:MEDLINE
[do] DOI:10.17116/jnevro201711731102-106



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