Akakın Akın, Yılmaz Baran, Ekşi Murat Şakir, Kılıç Türker
Department of Neurosurgery, Bahcesehir University Medical School, Istanbul, Turkey.
Department of Orthopedics-Spine Center, University of California at San Francisco, CA, USA.
J Korean Neurosurg Soc. 2015 Apr;57(4):311-3. doi: 10.3340/jkns.2015.57.4.311. Epub 2015 Apr 24.
Chiari type I malformation is a tonsillar herniation more than 3 mm from the level of foramen magnum, with or without concurrent syringomyelia. Different surgical treatments have been developed for syringomyelia secondary to Chiari's malformations: craniovertebral decompression with or without plugging of the obex, syringo-subarachnoid, syringo-peritoneal, and theco-peritoneal shunt placement. Shunt placement procedures are useful for neurologically symptomatic large-sized syrinx. In this paper, authors define the first successful treatment of a patient with syringomyelia due to Chiari type I malformation using a pre-defined new technique of syringo-subarachnoid-peritoneal shunt with T-tube system.
