Soleman Jehuda, Roth Jonathan, Constantini Shlomi
Departments of Neurosurgery and Pediatric Neurosurgery, Sourasky Medical Center and Dana Children's Hospital Tel Aviv, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel.
Department of Neurosurgery and Pediatric Neurosurgery, University Hospital and Children's Hospital of Basel, University of Basel, Basel, Switzerland.
Childs Nerv Syst. 2019 Oct;35(10):1863-1868. doi: 10.1007/s00381-019-04228-7. Epub 2019 Jun 1.
While FMD is, to date, the primary treatment of symptomatic CM I, the treatment of Chiari malformation type I (CM I) associated syrinx remains controversial. In cases of persistent, progressive, or recurrent syrinx following FMD, direct syrinx drainage (DSD) is described as a safe and efficient option, leading to a good clinical and radiological outcome. However, studies at hand mostly include very heterogeneous patient populations, small cohorts, and are of retrospective nature. We provide an overview of the possible indications and outcome for DSD in CM I-associated syrinx. We discuss the different surgical techniques of DSD and review the available literature comparing different DSD techniques. Finally, we discuss the possible complications that might occur after DSD and how they can be prevented.
虽然迄今为止，分流术是有症状的脊髓空洞症I型（CM I）的主要治疗方法，但I型Chiari畸形（CM I）相关的脊髓空洞症的治疗仍存在争议。在分流术后出现持续性、进行性或复发性脊髓空洞症的病例中，直接脊髓空洞引流术（DSD）被描述为一种安全有效的选择，可带来良好的临床和影像学结果。然而，目前的研究大多纳入了非常 heterogeneous 的患者群体、小样本队列，且具有回顾性。我们概述了DSD在CM I相关脊髓空洞症中的可能适应症和结果。我们讨论了DSD的不同手术技术，并回顾了比较不同DSD技术的现有文献。最后，我们讨论了DSD后可能出现的并发症以及如何预防这些并发症。
原文中“heterogeneous”未翻译，因为没有上下文明确其准确含义，需根据具体医学背景确定。
