采用钛板行颅后窝重建治疗 Chiari 畸形减压术后小脑下垂
Posterior fossa reconstruction using titanium plate for the treatment of cerebellar ptosis after decompression for Chiari malformation.
机构信息
Department of Neurosurgery, David Geffen School of Medicine, University of California in Los Angeles, Los Angeles, California, USA.
Department of Neurosurgery, David Geffen School of Medicine, University of California in Los Angeles, Los Angeles, California, USA.
出版信息
World Neurosurg. 2014 May-Jun;81(5-6):836-41. doi: 10.1016/j.wneu.2013.01.081. Epub 2013 Jan 19.
OBJECTIVE
We describe our use of a perforated titanium plate to perform a partial posterior fossa cranioplasty in the treatment of cerebellar ptosis and dural ectasia after posterior fossa decompression (PFD).
METHODS
Twelve patients who had undergone PFD underwent posterior fossa reconstruction using a titanium plate. Symptoms were related to either descent of the cerebellum into the decompression or to dural ectasia into the craniectomy defect.
RESULTS
Twelve patients who had undergone large suboccipital craniectomies and who presented with persistent headaches and some with neurological symptoms related to syringomyelia, underwent reoperation with placement of a small titanium plate. Ten of 12 patients showed symptomatic improvement after reoperation.
CONCLUSIONS
Placement of a titanium plate appears to be an effective method of treatment of cerebellar ptosis and dural ectasia after PFD for Chiari malformation.
目的
我们描述了使用多孔钛板进行部分后颅窝颅骨成形术治疗后颅窝减压（PFD）后小脑下垂和硬脑膜扩张。
方法
12 例接受 PFD 治疗的患者使用钛板进行后颅窝重建。症状与小脑下降进入减压区或硬脑膜扩张进入颅骨切除缺陷有关。
结果
12 例接受大枕下颅骨切除术并出现持续性头痛的患者，其中一些患者出现与脊髓空洞症相关的神经症状，再次手术放置小钛板。12 例患者中有 10 例在再次手术后症状得到改善。
结论
对于 Chiari 畸形行 PFD 后出现小脑下垂和硬脑膜扩张，放置钛板似乎是一种有效的治疗方法。
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