Chiari畸形：困境是否已结束？
Chiari malformation: Has the dilemma ended?
作者信息
Shah Abhidha Harshad, Dhar Arjun, Elsanafiry Mohamed Said Mohamed, Goel Atul
机构信息
Department of Neurosurgery, KEM Hospital and Seth G S Medical College, Mumbai, Maharashtra, India.
Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.
出版信息
J Craniovertebr Junction Spine. 2017 Oct-Dec;8(4):297-304. doi: 10.4103/jcvjs.JCVJS_138_17.
Abstract
Chiari malformation as a clinical entity has been described more than hundred years ago. The concepts regarding pathogenesis, clinical features and management options have not yet conclusively evolved. Considering that a variety of treatment methods are being adopted to treat Chiari malformation is suggestive of the fact that confusion still reigns supreme in the minds of treating clinicians. Over the years, the understanding of Chiari malformation has changed from a disease process to a natural protective phenomenon and the treatment from decompression to fixation.
摘要
作为一种临床实体，Chiari畸形早在一百多年前就已被描述。关于其发病机制、临床特征及治疗选择的概念尚未最终形成。鉴于目前采用了多种治疗方法来治疗Chiari畸形，这表明在治疗临床医生的脑海中，困惑仍然占据主导地位。多年来，对Chiari畸形的认识已从一种疾病过程转变为一种自然保护现象，治疗方式也从减压转变为固定。
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