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Chiari畸形患者枕下减压颅骨切除术后枕骨大孔的自然再生:病例报告

Spontaneous regeneration of the foramen magnum after decompressive suboccipital craniectomy in Chiari malformation: case report.

作者信息

Aoki N, Oikawa A, Sakai T

机构信息

Department of Neurosurgery, Tokyo Metropolitan Ohkubo Hospital, Japan.

出版信息

Neurosurgery. 1995 Aug;37(2):340-2. doi: 10.1227/00006123-199508000-00024.

DOI:10.1227/00006123-199508000-00024
PMID:7477791
Abstract

A 21-year-old woman, who had undergone foramen magnum decompression for her symptomatic Chiari malformation (Type 1) 7 years before, presented with recurrence of the symptoms. Neuroradiological examinations demonstrated regeneration of the foramen magnum that was caused by new bone formation, as confirmed at the second surgery. Neurological improvement was obtained after the removal of the regenerated foramen magnum. This observation, though rare, deserves to be kept in mind during the postoperative follow-up period in young patients with Chiari malformation.

摘要

一名21岁女性,7年前因症状性Chiari畸形(1型)接受了枕骨大孔减压术,现症状复发。神经放射学检查显示枕骨大孔再生,系新骨形成所致,二次手术证实了这一点。切除再生的枕骨大孔后神经功能得到改善。这一观察结果虽罕见,但在Chiari畸形年轻患者的术后随访期间值得牢记。

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引用本文的文献

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Dural sac restenosis due to regeneration of the resected C1 lamina in a patient with Chiari malformation: a case report and literature review.脊髓脊膜膨出术后 C1 椎板切除部位再生导致硬脊膜囊再狭窄:病例报告及文献复习。
Childs Nerv Syst. 2022 Aug;38(8):1621-1624. doi: 10.1007/s00381-021-05442-y. Epub 2022 Jan 6.
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Treatment failure of syringomyelia associated with Chiari I malformation following foramen magnum decompression: how should we proceed?寰枕减压术后伴 Chiari I 畸形的脊髓空洞症治疗失败:我们应该如何处理?
Neurosurg Rev. 2019 Sep;42(3):705-714. doi: 10.1007/s10143-018-01066-0. Epub 2018 Dec 15.
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Odontoid process and clival regeneration with Chiari malformation worsening after transoral decompression: an unexpected and previously unreported cause of "accordion phenomenon".
经口减压术后齿状突和斜坡再生伴Chiari畸形恶化:“手风琴现象”一个意想不到且此前未报道的原因
Eur Spine J. 2015 May;24 Suppl 4:S564-8. doi: 10.1007/s00586-014-3720-1. Epub 2014 Dec 18.
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The pediatric Chiari I malformation: a review.小儿 Chiari I 畸形:综述
Childs Nerv Syst. 2007 Nov;23(11):1239-50. doi: 10.1007/s00381-007-0428-0. Epub 2007 Jul 18.