da Silva J A, Brito J C, da Nóbrega P V
Neurochirurgische Klinik, Universität Paraíba in João Pessoa, Brasilien.
Neurochirurgia (Stuttg). 1992 Nov;35(6):183-8.
Within the period of 1971 to 1989 we operated on 230 cases of craniocervical malformations characterised by 189 cases of basilar impression associated with Arnold-chiari malformation, 28 cases of isolated basilar impression and 13 cases of Arnold-Chiari malformation. Autonomic disturbance was observed in 136 (59.1%) cases: sexual disorders like reduced potency and impotency were observed in 86 (60.9%) out of 141 male patients, urinary symptoms in 39 (17%) patients; and other autonomic features like dyspnea, anhidrosis, hyperhidrosis, Claude Bernard-Horner syndrome and constipation in 41 (17.8%) patients.
在1971年至1989年期间，我们对230例颅颈畸形患者进行了手术，其中包括189例合并Arnold - Chiari畸形的基底凹陷症、28例孤立性基底凹陷症和13例Arnold - Chiari畸形。136例（59.1%）患者出现自主神经功能障碍：141例男性患者中有86例（60.9%）出现性功能障碍，如性欲减退和阳痿；39例（17%）患者出现泌尿系统症状；41例（17.8%）患者出现其他自主神经功能特征，如呼吸困难、无汗、多汗、Claude Bernard - Horner综合征和便秘。
