完全内镜下I型Chiari畸形后颅窝减压术：病例展示

Fully endoscopic posterior fossa decompression for Chiari malformation type I: illustrative case.

作者信息

Staribacher Daniel, Feigl Guenther C, Britz Gavin, Kuzmin Dzmitry

机构信息

1Department of Neurosurgery, General Hospital Bamberg, Bamberg, Germany.

2Department of Neurosurgery, University Hospital Tuebingen, Tuebingen, Germany; and.

出版信息

J Neurosurg Case Lessons. 2023 Oct 23;6(17). doi: 10.3171/CASE23216.

BACKGROUND

Surgery for symptomatic Arnold-Chiari malformation type I involves posterior fossa decompression. There are various approaches, including endoscope-assisted ones. New possibilities and fields of application of fully endoscopic techniques are currently being developed since new and advanced endoscopic equipment and instrumentation are available.

OBSERVATIONS

The authors describe the case of a fully endoscopic microsurgical procedure in a 30-year-old female patient with progressive vertigo who was diagnosed with Chiari malformation type I. Neuronavigation and neuromonitoring were used during the surgery.

LESSONS

Fully endoscopic surgery can be successfully performed in patients with Chiari malformation I. Intraoperative neuromonitoring and neuronavigation increase safety during this procedure.