Pediatric Neurosurgery, Peripheral Nerve Surgery, Michigan Head & Spine Institute, Southfield, MI, USA.
Adv Tech Stand Neurosurg. 2024;53:159-183. doi: 10.1007/978-3-031-67077-0_10.
Posterior fossa decompression for symptomatic Chiari malformation is an effective and frequently performed procedure, but it does carry risks of significant complications including cerebrospinal fluid leak and craniocervical instability. Patients sometimes do not improve or worsen after decompression, which may discourage neurosurgeons from performing Chiari decompression surgery. In this chapter, management strategies and surgical approaches are discussed that minimize the risks of complications and maximize favorable outcomes in Chiari malformation surgery.
后颅窝减压术是治疗 Chiari 畸形的有效方法，且常被采用，但它确实存在一些严重并发症的风险，包括脑脊液漏和颅颈不稳定。患者有时在减压后没有改善甚至恶化，这可能会使神经外科医生对进行 Chiari 减压手术望而却步。本章讨论了管理策略和手术方法，这些策略和方法可以最大限度地降低并发症风险，并使 Chiari 畸形手术获得良好的效果。
