Tags

Type your tag names separated by a space and hit enter

Symptomatic Subdural Hygroma and Hydrocephalus following Chiari I Decompression.
Pediatr Neurosurg. 2009; 45(6):425-8.PN

Abstract

BACKGROUND

The aim of the present case report is to describe an unusual complication of foramen magnum decompression (FMD) for the Chiari 1 hindbrain malformation and its successful management with non-operative measures.

METHODS

A 2-year-old girl with the Chiari 1 malformation underwent FMD, including suboccipital craniotomy, C1 laminectomy and durotomy without opening the arachnoid.

RESULTS

After initial postoperative improvement, the patient deteriorated, developing subdural hygromas and hydrocephalus. These were treated successfully with observation and acetazolamide.

CONCLUSIONS

Subdural hygromas may complicate FMD. A slit valve opening in the arachnoid might be part of the pathophysiology. While surgical intervention may be necessary in some circumstances, non-operative measures may be effective as well.

Authors+Show Affiliations

Division of Pediatric Neurosurgery, Rainbow Babies and Children's Hospital, The Neurological Institute, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20051703

Citation

Filis, Andreas K., et al. "Symptomatic Subdural Hygroma and Hydrocephalus Following Chiari I Decompression." Pediatric Neurosurgery, vol. 45, no. 6, 2009, pp. 425-8.
Filis AK, Moon K, Cohen AR. Symptomatic Subdural Hygroma and Hydrocephalus following Chiari I Decompression. Pediatr Neurosurg. 2009;45(6):425-8.
Filis, A. K., Moon, K., & Cohen, A. R. (2009). Symptomatic Subdural Hygroma and Hydrocephalus following Chiari I Decompression. Pediatric Neurosurgery, 45(6), 425-8. https://doi.org/10.1159/000270159
Filis AK, Moon K, Cohen AR. Symptomatic Subdural Hygroma and Hydrocephalus Following Chiari I Decompression. Pediatr Neurosurg. 2009;45(6):425-8. PubMed PMID: 20051703.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symptomatic Subdural Hygroma and Hydrocephalus following Chiari I Decompression. AU - Filis,Andreas K, AU - Moon,Karam, AU - Cohen,Alan R, Y1 - 2009/12/24/ PY - 2009/08/31/received PY - 2009/10/26/accepted PY - 2010/1/7/entrez PY - 2010/1/7/pubmed PY - 2010/6/9/medline SP - 425 EP - 8 JF - Pediatric neurosurgery JO - Pediatr Neurosurg VL - 45 IS - 6 N2 - BACKGROUND: The aim of the present case report is to describe an unusual complication of foramen magnum decompression (FMD) for the Chiari 1 hindbrain malformation and its successful management with non-operative measures. METHODS: A 2-year-old girl with the Chiari 1 malformation underwent FMD, including suboccipital craniotomy, C1 laminectomy and durotomy without opening the arachnoid. RESULTS: After initial postoperative improvement, the patient deteriorated, developing subdural hygromas and hydrocephalus. These were treated successfully with observation and acetazolamide. CONCLUSIONS: Subdural hygromas may complicate FMD. A slit valve opening in the arachnoid might be part of the pathophysiology. While surgical intervention may be necessary in some circumstances, non-operative measures may be effective as well. SN - 1423-0305 UR - https://www.unboundmedicine.com/medline/citation/20051703/Symptomatic_Subdural_Hygroma_and_Hydrocephalus_following_Chiari_I_Decompression_ L2 - https://www.karger.com?DOI=10.1159/000270159 DB - PRIME DP - Unbound Medicine ER -