枕骨大孔减压术治疗老年患者伴脊髓空洞症的Ⅰ型阿诺德-基亚里畸形
Foramen magnum decompression for the treatment of Arnold Chiari malformation type I with associated syringomyelia in an elderly patient.
作者信息
Takigami I, Miyamoto K, Kodama H, Hosoe H, Tanimoto S, Shimizu K
机构信息
Department of Orthopaedic Surgery, Gifu University School of Medicine, Gifu City, 501-1194, Gifu, Japan.
出版信息
Spinal Cord. 2005 Apr;43(4):249-51. doi: 10.1038/sj.sc.3101675.
STUDY DESIGN
Report of a rare case of an elderly patient with late onset of Arnold Chiari malformation type I with associated syringomyelia that was successfully treated with foramen magnum decompression.
OBJECTIVE
To report this rare case along with a literature review.
SETTING
Gifu, Japan.
METHODS
A 69-year-old woman with a 4-year history of dull pain in her right arm was referred to the clinic. After physical and radiographical examinations, she was diagnosed with Arnold Chiari malformation type I with associated syringomyelia. A foramen magnum decompression by the removal of the outer layer of the dura mater was performed.
RESULTS
At 2 years postoperatively, MRI revealed a decrease in the size of the syringomyelia. Her symptoms had also remarkably improved.
CONCLUSIONS
A rare case of symptomatic Arnold Chiari malformation type I with associated syringomyelia in an elderly woman was successfully treated with foramen magnum decompression by the removal of the outer layer of the dura mater.
研究设计
报告一例罕见的老年患者，该患者迟发性I型阿诺德-奇亚里畸形合并脊髓空洞症，经枕骨大孔减压术成功治疗。
目的
报告此罕见病例并进行文献综述。
地点
日本岐阜。
方法
一名有右臂钝痛4年病史的69岁女性被转诊至诊所。经过体格检查和影像学检查后，她被诊断为I型阿诺德-奇亚里畸形合并脊髓空洞症。通过切除硬脑膜外层进行了枕骨大孔减压术。
结果
术后2年，磁共振成像显示脊髓空洞症大小减小。她的症状也有显著改善。
结论
一名老年女性患有罕见的有症状I型阿诺德-奇亚里畸形合并脊髓空洞症，通过切除硬脑膜外层进行枕骨大孔减压术成功治疗。
Zotero 插件