Wang K, Wu H, Fengzeng J, Zeng G. Opinion for different centers: surgical experience with Chiari malformation type I in children at Xuanwu Hospital, China.
Childs Nerv Syst 2019;
35:1915-1919. [PMID:
31214817 DOI:
10.1007/s00381-019-04230-z]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Accepted: 05/24/2019] [Indexed: 11/29/2022]
Abstract
PURPOSE
To evaluate the presenting symptoms, surgical strategy, and outcome in children with Chiari malformation type I (CM-I).
METHODS
The medical records of children who were diagnosed with CM-I under 14 years old and subsequently underwent surgery for CM-I between 2014 and 2018 were reviewed. The medical records for presentation, radiological image, surgical intervention, and outcome were evaluated.
RESULTS
Twelve children with CM-I and syringomyelia were included. All of the children were symptomatic. The most common presenting symptom was weakness, followed by scoliosis. All of them underwent posterior fossa decompression with/without duraplasty. Relief of preoperative pathologies and syringomyelia was experienced by all of them.
CONCLUSIONS
The presenting symptoms of CM-I in children may be neurological deficits and scoliosis, which have a relationship with syringomyelia. Early recognition and a tailored operative procedure of CM-I in children could lead to good outcomes. Additional therapies for syringomyelia and scoliosis could be avoided.
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