Gonçalves da Silva J A, Gonçalves da Silva C E, de Farias Brito J C, Rodrigues de Sousa M, Gonçalves da Silva J B
Arq Neuropsiquiatr. 1978 Mar;36(1):27-31.
The surgical technic for decompression of the posterior fossa in cases of basilar impression and malformation of Arnold-Chiari mainly based in (1) endotracheal intubation without any flexion of the head, (2) position of the head without anterior flexion during the surgery, (3) plastic of the posterior fossa with dura-mater of cadaver conserved in glicerina, was emploied in 13 patients. The plastic was made to create space at the craniocervical joint in order to avoid cerebrospinal fluid fistula and to restore the integrity of the dura. Infection was not observed.
在颅底凹陷症和阿诺德 - 奇亚里畸形病例中，后颅窝减压的手术技术主要包括：（1）气管插管时头部无任何屈曲；（2）手术过程中头部无前屈位；（3）用保存在甘油中的尸体硬脑膜进行后颅窝整形。该技术应用于13例患者。进行整形是为了在颅颈关节处创造空间，以避免脑脊液漏并恢复硬脑膜的完整性。未观察到感染情况。
