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伴有脊髓空洞症的Chiari I型畸形。通过磁共振成像评估手术治疗效果。

Chiari I malformation with syringomyelia. Evaluation of surgical therapy by magnetic resonance imaging.

作者信息

Batzdorf U

机构信息

Division of Neurosurgery, School of Medicine, University of California, Los Angeles.

出版信息

J Neurosurg. 1988 May;68(5):726-30. doi: 10.3171/jns.1988.68.5.0726.

DOI:10.3171/jns.1988.68.5.0726
PMID:3357031
Abstract

Five patients with a Chiari I-syringomyelia complex of adult onset were evaluated by magnetic resonance (MR) imaging. All patients underwent suboccipital craniotomy with upper cervical (C-1 and part of C-2) laminectomy, arachnoid retraction, and duraplasty. Postoperative MR studies of four patients disclosed collapse of the syringomyelic cavity, even when the cavity extended into the thoracic region. This appeared to be a progressive process taking place over several weeks. Operative complications are noted and physiological implications are discussed.

摘要

对5例成年起病的Chiari I型脊髓空洞症复合体患者进行了磁共振(MR)成像评估。所有患者均接受了枕下开颅术,并行上颈椎(C-1和部分C-2)椎板切除术、蛛网膜牵拉和硬脑膜成形术。4例患者术后的MR研究显示,即使空洞延伸至胸段,脊髓空洞腔也会塌陷。这似乎是一个在数周内逐渐发生的过程。文中记录了手术并发症并讨论了其生理意义。

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