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[14 cases of communicating syringomyelia associated with Chiari I malformation in children].
Neurochirurgie. 1992; 38(5):297-303.N

Abstract

The authors review their experience of 14 children with syringomyelia and associated Chiari I malformation observed during the last 21 years. Initial symptoms were motor weakness (57%), sensory signs (50%), scoliosis (50%) and bladder dysfunction (21.5%), while signs of admission were pyramidal signs (78.5%) with motor deficit (43%), spinal deformities (64.2%), syringomyelic syndrome (36%) and sensory deficit (21.5%). Four children were investigated with myelography, three with myelography and spinal CT Scan and the last seven cases with MRI. Ten children (71.4%) underwent a decompression of the Chiari malformation with or without drainage of the cyst and shunting of an associated hydrocephalus. Syringo-peritoneal shunts were used in 3 children and laminectomy with syringo-subarachnoid shunt in 1 case. The neurological symptoms improved in 57% of the cases, 2 patients deteriorated and 4 patients were lost to follow-up. The authors discuss the clinical symptomatology, the MRI study, the controversies concerning the treatment and concluded with their attitude concerning this pathology in children.

Authors+Show Affiliations

Service de Neurochirurgie Pédiatrique, Hôpital des Enfants de La Timone, Marseille.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

1299775

Citation

Lena, G, et al. "[14 Cases of Communicating Syringomyelia Associated With Chiari I Malformation in Children]." Neuro-Chirurgie, vol. 38, no. 5, 1992, pp. 297-303.
Lena G, Boudawara Z, Genitori L, et al. [14 cases of communicating syringomyelia associated with Chiari I malformation in children]. Neurochirurgie. 1992;38(5):297-303.
Lena, G., Boudawara, Z., Genitori, L., Cavalhero, S., & Choux, M. (1992). [14 cases of communicating syringomyelia associated with Chiari I malformation in children]. Neuro-Chirurgie, 38(5), 297-303.
Lena G, et al. [14 Cases of Communicating Syringomyelia Associated With Chiari I Malformation in Children]. Neurochirurgie. 1992;38(5):297-303. PubMed PMID: 1299775.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [14 cases of communicating syringomyelia associated with Chiari I malformation in children]. AU - Lena,G, AU - Boudawara,Z, AU - Genitori,L, AU - Cavalhero,S, AU - Choux,M, PY - 1992/1/1/pubmed PY - 1992/1/1/medline PY - 1992/1/1/entrez SP - 297 EP - 303 JF - Neuro-Chirurgie JO - Neurochirurgie VL - 38 IS - 5 N2 - The authors review their experience of 14 children with syringomyelia and associated Chiari I malformation observed during the last 21 years. Initial symptoms were motor weakness (57%), sensory signs (50%), scoliosis (50%) and bladder dysfunction (21.5%), while signs of admission were pyramidal signs (78.5%) with motor deficit (43%), spinal deformities (64.2%), syringomyelic syndrome (36%) and sensory deficit (21.5%). Four children were investigated with myelography, three with myelography and spinal CT Scan and the last seven cases with MRI. Ten children (71.4%) underwent a decompression of the Chiari malformation with or without drainage of the cyst and shunting of an associated hydrocephalus. Syringo-peritoneal shunts were used in 3 children and laminectomy with syringo-subarachnoid shunt in 1 case. The neurological symptoms improved in 57% of the cases, 2 patients deteriorated and 4 patients were lost to follow-up. The authors discuss the clinical symptomatology, the MRI study, the controversies concerning the treatment and concluded with their attitude concerning this pathology in children. SN - 0028-3770 UR - https://www.unboundmedicine.com/medline/citation/1299775/[14_cases_of_communicating_syringomyelia_associated_with_Chiari_I_malformation_in_children]_ L2 - http://www.diseaseinfosearch.org/result/6981 DB - PRIME DP - Unbound Medicine ER -