Gonçalves da Silva J A, Gonçalves da Silva C E
Arq Neuropsiquiatr. 1981 Sep;39(3):306-16.
The many kinds of complication that have been observed following operations of basilar impression and/or malformation of Arnold-Chiari are analysed. Two surgical techniques were adopted in the treatment of the patients. In the first 64 cases, the operation consisted in the craniectomy of the posterior fossa and high cervical laminectomy, while the dura-mater remained opened and saturated to the lateral musculature. Concerning the other 75 cases, it was made a plastic of the dura-mater of the posterior fossa and, in most of the cases, the patients were intubated with no retroflexion of the head and operated in sitting position without anterior flexion of the head. In the second group of patients, it was observed lesser occurrence of complications and death.
分析了在基底压迹和/或阿诺德-奇亚里畸形手术后观察到的多种并发症。治疗患者时采用了两种手术技术。在最初的64例病例中，手术包括后颅窝颅骨切除术和高位颈椎椎板切除术，同时硬脑膜保持开放并与外侧肌肉组织贴合。对于另外75例病例，进行了后颅窝硬脑膜成形术，并且在大多数情况下，患者插管时头部无后屈，手术时采取坐位且头部无前屈。在第二组患者中，观察到并发症和死亡的发生率较低。
