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Chiari malformation and types of basilar invagination with/without syringomyelia.
Surg Neurol Int. 2019; 10:206.SN

Abstract

Background

Craniometric studies document different subtypes of craniocervical junction malformations (CCJM). Here, we identified the different types and global signs and symptoms (SS) that correlated with these malformations while further evaluating the impact of syringomyelia.

Methods

Prospective data concerning SS and types of CCJM were evaluated in 89 patients between September 2002 and April 2014 using Bindal's scale.

Results

The mean Bindal's scores of each type of CCJM were Chiari malformation (CM) = 74.6, basilar invagination Type 1 (BI1) = 78.5, and BI Type 2 (BI2) = 78. Swallowing impairment and nystagmus were more frequently present in the BI patients. Symptomatic burdens were higher in patients with syringomyelia and included weakness, extremity numbness, neck pain, dissociated sensory loss, and atrophy.

Conclusion

There were no statistically significant differences in SS between the different CCJM types. BI patients had more swallowing and nystagmus complaints versus CM patients, but there were no significant differences in clinical SS between BI1 and BI2 patients. Notably, those with attendant syringomyelia had a higher SS burden.

Authors+Show Affiliations

Program in Health Sciences-IAMSPE; Department of Neurosurgery, Hospital Mandaqui, Brazil.Department of Neurosurgery, Hospital Mandaqui, Brazil.Department of Neurosurgery, Hospital Mandaqui, Brazil.Program in Health Sciences-IAMSPE; Department of Neurosurgery, Hospital Mandaqui and Hospital do Servidor Publico Estadual - HSPE, São Paulo, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31768286

Citation

de Oliveira Filho, Ítalo Teles, et al. "Chiari Malformation and Types of Basilar Invagination With/without Syringomyelia." Surgical Neurology International, vol. 10, 2019, p. 206.
de Oliveira Filho ÍT, Romero PC, Fontoura EAF, et al. Chiari malformation and types of basilar invagination with/without syringomyelia. Surg Neurol Int. 2019;10:206.
de Oliveira Filho, Í. T., Romero, P. C., Fontoura, E. A. F., & Botelho, R. V. (2019). Chiari malformation and types of basilar invagination with/without syringomyelia. Surgical Neurology International, 10, 206. https://doi.org/10.25259/SNI_469_2019
de Oliveira Filho ÍT, et al. Chiari Malformation and Types of Basilar Invagination With/without Syringomyelia. Surg Neurol Int. 2019;10:206. PubMed PMID: 31768286.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chiari malformation and types of basilar invagination with/without syringomyelia. AU - de Oliveira Filho,Ítalo Teles, AU - Romero,Paulo Cesar, AU - Fontoura,Emílio Afonso França, AU - Botelho,Ricardo Vieira, Y1 - 2019/10/18/ PY - 2019/09/25/received PY - 2019/09/26/accepted PY - 2019/11/27/entrez PY - 2019/11/27/pubmed PY - 2019/11/27/medline KW - Arnold–Chiari malformation KW - Basilar impression KW - Neurologic manifestations KW - Platybasia KW - Signs and symptoms SP - 206 EP - 206 JF - Surgical neurology international JO - Surg Neurol Int VL - 10 N2 - Background: Craniometric studies document different subtypes of craniocervical junction malformations (CCJM). Here, we identified the different types and global signs and symptoms (SS) that correlated with these malformations while further evaluating the impact of syringomyelia. Methods: Prospective data concerning SS and types of CCJM were evaluated in 89 patients between September 2002 and April 2014 using Bindal's scale. Results: The mean Bindal's scores of each type of CCJM were Chiari malformation (CM) = 74.6, basilar invagination Type 1 (BI1) = 78.5, and BI Type 2 (BI2) = 78. Swallowing impairment and nystagmus were more frequently present in the BI patients. Symptomatic burdens were higher in patients with syringomyelia and included weakness, extremity numbness, neck pain, dissociated sensory loss, and atrophy. Conclusion: There were no statistically significant differences in SS between the different CCJM types. BI patients had more swallowing and nystagmus complaints versus CM patients, but there were no significant differences in clinical SS between BI1 and BI2 patients. Notably, those with attendant syringomyelia had a higher SS burden. SN - 2229-5097 UR - https://www.unboundmedicine.com/medline/citation/31768286/Chiari_malformation_and_types_of_basilar_invagination_with/without_syringomyelia_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31768286/ DB - PRIME DP - Unbound Medicine ER -
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