Giammattei Lorenzo, Borsotti F, Parker F, Messerer M
Department of Neurosurgery, University Hospital of Lausanne, Lausanne, Switzerland.
Department of Neurosurgery, Bicêtre University Hospital, Le Kremlin-Bicêtre, France.
Acta Neurochir (Wien). 2018 Jan;160(1):213-217. doi: 10.1007/s00701-017-3380-0. Epub 2017 Nov 12.
Chiari malformation type I (CM-I) is a rare disease characterised by herniation of cerebellar tonsils below the foramen magnum with associated anomalies of posterior fossa. We describe here the surgical technique, indications and limits of surgical treatment.
The authors describe the surgical technique, including: posterior fossa decompression, opening of the foramen of Magendie and duraplasty in case of CM-I.
Posterior fossa decompression plus duraplasty is a safe and effective procedure for patients with CM-I malformation.
I型Chiari畸形（CM-I）是一种罕见疾病，其特征为小脑扁桃体疝入枕大孔以下并伴有后颅窝相关异常。我们在此描述手术技术、手术指征及手术治疗的局限性。
作者描述了手术技术，包括：对于CM-I患者进行后颅窝减压、打开马根迪孔及硬脑膜成形术。
后颅窝减压加硬脑膜成形术对于CM-I畸形患者是一种安全有效的手术方法。
