Weinberg J S, Freed D L, Sadock J, Handler M, Wisoff J H, Epstein F J
Department of Neurosurgery, New York University Medical Center, New York, N.Y., USA.
Pediatr Neurosurg. 1998 Jul;29(1):14-8. doi: 10.1159/000028678.
There has been disagreement regarding surgical intervention in treating pediatric patients with Chiari I malformation with headache as sole complaint. Therefore, we retrospectively reviewed our experience over a 6-year period, with patients less than 5 years of age (mean = 34.8 months) with radiographically confirmed Chiari I malformation. We identified 7 patients who presented with headaches as their only complaint. The headaches varied in location and severity. All patients were treated with posterior fossa decompression and syringosubarachnoid shunt when indicated. At follow-up, all patients were noted to have rapid clinical improvement (mean = 11.6 weeks) and remain asymptomatic. Our data suggest that patients less than 5 years of age with Chiari I malformation benefit from surgical decompression when presenting with a chief complaint of headache.
对于以头痛为唯一主诉的小儿Chiari I型畸形患者的手术干预，一直存在分歧。因此，我们回顾性分析了我们在6年期间对年龄小于5岁（平均34.8个月）、经影像学证实为Chiari I型畸形患者的治疗经验。我们确定了7例以头痛为唯一主诉的患者。头痛的部位和严重程度各不相同。所有患者在有指征时均接受了后颅窝减压和脊髓空洞-蛛网膜下腔分流术。随访时，所有患者临床均迅速改善（平均11.6周）且无症状。我们的数据表明，年龄小于5岁、以头痛为主诉的Chiari I型畸形患者从手术减压中获益。
