Raftopoulos C, Sanchez A, Matos C, Balériaux D, Bank W O, Brotchi J
Department of Neurosurgery, Hôpital Erasme, Université Libre de Bruxelles, Belgium.
Surg Neurol. 1993 Feb;39(2):163-9. doi: 10.1016/0090-3019(93)90097-k.
A modified foramen magnum decompression procedure, designed to respect the subarachnoid spaces as much as possible, was prospectively evaluated in eight consecutive patients with a progressive clinical syndrome related to hydrosyringomyelia-Chiari I complex. This evaluation included quantitative clinical and magnetic resonance follow-up of at least 1 year in the first six patients and 6 months for the last two. Magnetic resonance scans at 6 months or more confirmed a persistent reduction of the hydrosyringomyelic cavity in all cases, which was associated with obvious subjective improvement. All patients have maintained this improvement. The operative technique and methods of clinical and radiological follow-up are discussed.
一种改良的枕骨大孔减压手术，旨在尽可能保留蛛网膜下腔，对连续8例患有与脊髓空洞症- Chiari I型复合体相关的进行性临床综合征的患者进行了前瞻性评估。该评估包括对前6例患者至少1年的定量临床和磁共振随访，对最后2例患者进行6个月的随访。6个月或更长时间的磁共振扫描证实，所有病例的脊髓空洞腔持续缩小，这与明显的主观改善相关。所有患者都维持了这种改善。文中讨论了手术技术以及临床和放射学随访方法。
