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Chiari 1 malformation with syringomyelia: correlation of phase-contrast cine MR imaging and outcome.
Turk Neurosurg. 2007 Jul; 17(3):183-92.TN

Abstract

AIM

This study was designed to determine the hemodynamics of cerebrospinal fluid flow in syringomyelia patients associated with Chiari I malformation using phase-contrast velocity-encoded-cine MRI and also to find out whether treatment outcomes may be predicted by these flow measurements.

MATERIAL AND METHODS

Eighteen consecutive symptomatic patients with syringomyelia associated with Chiari 1 malformation were included. The PC VEC MRI was performed at the level of foramen magnum and syrinx cavity both preoperatively and 6 months postoperatively. Following surgery, the modified Asgari score was calculated, and the association between CSF flow pattern and clinical outcome was assessed.

RESULTS

Evaluation of clinical symptoms at postoperative 6th month revealed improvement in 11 (61%) patients and stabilization in 5 (28%) patients whereas results were poor in 2 (11%) patients. Preoperative cine MRI flow studies showed a heterogeneous pattern at the foramen magnum level in all of the patients. Postoperative cine MR flow studies demonstrated the change from heterogeneous pattern to sinusoidal pattern in 11 patients and a decrease in heterogeneity in 7 patients.

CONCLUSION

Our results indicate that CSF flow measurements using PC VEC MRI can give important information regarding the prognosis and follow-up of the patients with Chiari I malformation.

Authors+Show Affiliations

Kocaeli University School of Medicine, Neurosurgery, Kocaeli, Turkey. kenankoc01@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

17939105

Citation

Koç, Kenan, et al. "Chiari 1 Malformation With Syringomyelia: Correlation of Phase-contrast Cine MR Imaging and Outcome." Turkish Neurosurgery, vol. 17, no. 3, 2007, pp. 183-92.
Koç K, Anik Y, Anik I, et al. Chiari 1 malformation with syringomyelia: correlation of phase-contrast cine MR imaging and outcome. Turk Neurosurg. 2007;17(3):183-92.
Koç, K., Anik, Y., Anik, I., Cabuk, B., & Ceylan, S. (2007). Chiari 1 malformation with syringomyelia: correlation of phase-contrast cine MR imaging and outcome. Turkish Neurosurgery, 17(3), 183-92.
Koç K, et al. Chiari 1 Malformation With Syringomyelia: Correlation of Phase-contrast Cine MR Imaging and Outcome. Turk Neurosurg. 2007;17(3):183-92. PubMed PMID: 17939105.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chiari 1 malformation with syringomyelia: correlation of phase-contrast cine MR imaging and outcome. AU - Koç,Kenan, AU - Anik,Yonca, AU - Anik,Ihsan, AU - Cabuk,Burak, AU - Ceylan,Savaş, PY - 2007/10/17/pubmed PY - 2008/4/10/medline PY - 2007/10/17/entrez SP - 183 EP - 92 JF - Turkish neurosurgery JO - Turk Neurosurg VL - 17 IS - 3 N2 - AIM: This study was designed to determine the hemodynamics of cerebrospinal fluid flow in syringomyelia patients associated with Chiari I malformation using phase-contrast velocity-encoded-cine MRI and also to find out whether treatment outcomes may be predicted by these flow measurements. MATERIAL AND METHODS: Eighteen consecutive symptomatic patients with syringomyelia associated with Chiari 1 malformation were included. The PC VEC MRI was performed at the level of foramen magnum and syrinx cavity both preoperatively and 6 months postoperatively. Following surgery, the modified Asgari score was calculated, and the association between CSF flow pattern and clinical outcome was assessed. RESULTS: Evaluation of clinical symptoms at postoperative 6th month revealed improvement in 11 (61%) patients and stabilization in 5 (28%) patients whereas results were poor in 2 (11%) patients. Preoperative cine MRI flow studies showed a heterogeneous pattern at the foramen magnum level in all of the patients. Postoperative cine MR flow studies demonstrated the change from heterogeneous pattern to sinusoidal pattern in 11 patients and a decrease in heterogeneity in 7 patients. CONCLUSION: Our results indicate that CSF flow measurements using PC VEC MRI can give important information regarding the prognosis and follow-up of the patients with Chiari I malformation. SN - 1019-5149 UR - https://www.unboundmedicine.com/medline/citation/17939105/Chiari_1_malformation_with_syringomyelia:_correlation_of_phase_contrast_cine_MR_imaging_and_outcome_ L2 - http://www.turkishneurosurgery.org.tr/pubmed.php3?year=2007&volume=17&issue=3&page=183 DB - PRIME DP - Unbound Medicine ER -