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Suboccipital craniectomy with opening of the fourth ventricle and duraplasty: study of 192 cases of craniovertebral malformations.
Arq Neuropsiquiatr. 2013 09; 71(9A):609-14.AN

Abstract

The prime objective in the surgical treatment of basilar impression (BI), Chiari malformation (CM), and/or syringomyelia (SM) is based on restoration of the normal cerebrospinal fluid (CSF) dynamics at the craniovertebral junction and creation of a large artificial cisterna magna, avoiding the caudal migration of the hindbrain. It is observed that a large craniectomy might facilitate an upward migration of the posterior fossa structures. There are many surgical techniques to decompress the posterior fossa; however, a gold standard approach remains unclear. The authors present the results of 192 cases of BI, CM, and SM treated between 1975 and 2008 and whose surgical treatment was characterized by a large craniectomy without tonsillectomy with the patient in the sitting position, large opening of the fourth ventricle, and duraplasty.

Authors+Show Affiliations

Neurosurgical Division, Hospital Unimed, João PessoaPB, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24141441

Citation

Silva, José Alberto Gonçalves da, et al. "Suboccipital Craniectomy With Opening of the Fourth Ventricle and Duraplasty: Study of 192 Cases of Craniovertebral Malformations." Arquivos De Neuro-psiquiatria, vol. 71, no. 9A, 2013, pp. 609-14.
Silva JA, Santos AA, Costa Mdo D, et al. Suboccipital craniectomy with opening of the fourth ventricle and duraplasty: study of 192 cases of craniovertebral malformations. Arq Neuropsiquiatr. 2013;71(9A):609-14.
Silva, J. A., Santos, A. A., Costa, M. d. o. . D., & Almeida, E. B. (2013). Suboccipital craniectomy with opening of the fourth ventricle and duraplasty: study of 192 cases of craniovertebral malformations. Arquivos De Neuro-psiquiatria, 71(9A), 609-14. https://doi.org/10.1590/0004-282X20130105
Silva JA, et al. Suboccipital Craniectomy With Opening of the Fourth Ventricle and Duraplasty: Study of 192 Cases of Craniovertebral Malformations. Arq Neuropsiquiatr. 2013;71(9A):609-14. PubMed PMID: 24141441.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Suboccipital craniectomy with opening of the fourth ventricle and duraplasty: study of 192 cases of craniovertebral malformations. AU - Silva,José Alberto Gonçalves da, AU - Santos,Adailton Arcanjo dos,Jr AU - Costa,Maria do Desterro Leiros da, AU - Almeida,Everardo Bandeira de, PY - 2012/09/06/received PY - 2013/04/09/received PY - 2013/04/16/received PY - 2013/10/22/entrez PY - 2013/10/22/pubmed PY - 2014/2/7/medline SP - 609 EP - 14 JF - Arquivos de neuro-psiquiatria JO - Arq Neuropsiquiatr VL - 71 IS - 9A N2 - The prime objective in the surgical treatment of basilar impression (BI), Chiari malformation (CM), and/or syringomyelia (SM) is based on restoration of the normal cerebrospinal fluid (CSF) dynamics at the craniovertebral junction and creation of a large artificial cisterna magna, avoiding the caudal migration of the hindbrain. It is observed that a large craniectomy might facilitate an upward migration of the posterior fossa structures. There are many surgical techniques to decompress the posterior fossa; however, a gold standard approach remains unclear. The authors present the results of 192 cases of BI, CM, and SM treated between 1975 and 2008 and whose surgical treatment was characterized by a large craniectomy without tonsillectomy with the patient in the sitting position, large opening of the fourth ventricle, and duraplasty. SN - 1678-4227 UR - https://www.unboundmedicine.com/medline/citation/24141441/Suboccipital_craniectomy_with_opening_of_the_fourth_ventricle_and_duraplasty:_study_of_192_cases_of_craniovertebral_malformations_ L2 - https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000900609&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -