Cited 19 times in
Factors contributing improvement of syringomyelia and surgical outcome in type I Chiari malformation
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김정희 | - |
dc.contributor.author | 박영석 | - |
dc.contributor.author | 심규원 | - |
dc.contributor.author | 최중언 | - |
dc.contributor.author | 김동석 | - |
dc.date.accessioned | 2015-04-24T16:47:55Z | - |
dc.date.available | 2015-04-24T16:47:55Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 0256-7040 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/104191 | - |
dc.description.abstract | OBJECTIVE: The aim of our study was to compare pre- and postoperative radiologic data of posterior fossa and the improvement of syringomyelia after posterior fossa decompression (PFD) with and without tonsillar management in Chiari type capital I, Ukrainian malformation (CM-I). MATERIAL AND METHODS: A retrospective analysis was made of all patients who underwent PFD between Oct 1991 and March 2007 for CM-I. Fifty-seven patients treated for CM-I at a single institution were included in the study. Patients were divided into two groups according to the procedures used during their PFD: PFD vs. PFD with tonsillar management. To determine whether the tonsillar management or changes of posterior fossa volume relate with surgical outcome, we measure posterior fossa size and syringomyelia pre- and postoperatively using magnetic resonance imaging. RESULTS: Forty patients (70.2%) received PFD and 17 patients (29.8%) received PFD with tonsillar management. The length of syringomyelia affected improvement of syringomyelia (alteration rate, A-rate). Clinical symptoms, craniectomy size, syringomyelia type, and the surgeon's specialty did not affect A-rate. Tonsillar management has no significant effect on improvement of syringomyelia. Four patients need repeated surgery due to recurrence. CONCLUSION: We have shown that tonsillar management do not lead to improve A-rate, and the radiologic changes of posterior fossa volume do not relate with radiologic improvement of syringomyelia. PFD without tonsillar management is sufficient to improve syringomyelia. The longer syrinx, the more A-rate improve in our study. However, a wider craniectomy is unrelated to A-rate. In cases of recurrent patients, we obtained good results with tonsillar management or syringosubarachnoid shunt. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 453~459 | - |
dc.relation.isPartOf | CHILDS NERVOUS SYSTEM | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Analysis of Variance | - |
dc.subject.MESH | Arnold-Chiari Malformation/complications | - |
dc.subject.MESH | Arnold-Chiari Malformation/surgery* | - |
dc.subject.MESH | Cerebellum/surgery* | - |
dc.subject.MESH | Child | - |
dc.subject.MESH | Child, Preschool | - |
dc.subject.MESH | Cranial Fossa, Posterior/surgery* | - |
dc.subject.MESH | Craniotomy | - |
dc.subject.MESH | Decompression, Surgical* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Head/pathology | - |
dc.subject.MESH | Head/surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Infant | - |
dc.subject.MESH | Linear Models | - |
dc.subject.MESH | Magnetic Resonance Imaging | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Syringomyelia/etiology | - |
dc.subject.MESH | Syringomyelia/surgery* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Young Adult | - |
dc.title | Factors contributing improvement of syringomyelia and surgical outcome in type I Chiari malformation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학) | - |
dc.contributor.googleauthor | Young Seok Park | - |
dc.contributor.googleauthor | Dong-Seok Kim | - |
dc.contributor.googleauthor | Kyu-Won Shim | - |
dc.contributor.googleauthor | Jung-Hee Kim | - |
dc.contributor.googleauthor | Joong-Uhn Choi | - |
dc.identifier.doi | 10.1007/s00381-008-0763-9 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01568 | - |
dc.contributor.localId | A02187 | - |
dc.contributor.localId | A04194 | - |
dc.contributor.localId | A00402 | - |
dc.contributor.localId | A00909 | - |
dc.relation.journalcode | J00525 | - |
dc.identifier.eissn | 1433-0350 | - |
dc.identifier.pmid | 19057907 | - |
dc.identifier.url | http://link.springer.com/article/10.1007%2Fs00381-008-0763-9 | - |
dc.subject.keyword | Chiari malformation | - |
dc.subject.keyword | Syringomyelia | - |
dc.subject.keyword | Suboccipital decompression | - |
dc.subject.keyword | Shunt | - |
dc.subject.keyword | Posterior fossa | - |
dc.contributor.alternativeName | Kim, Jung Hee | - |
dc.contributor.alternativeName | Park, Young Seok | - |
dc.contributor.alternativeName | Shim, Kyu Won | - |
dc.contributor.alternativeName | Choi, Joong Uhn | - |
dc.contributor.alternativeName | Kim, Dong Seok | - |
dc.contributor.affiliatedAuthor | Park, Young Seok | - |
dc.contributor.affiliatedAuthor | Shim, Kyu Won | - |
dc.contributor.affiliatedAuthor | Choi, Joong Uhn | - |
dc.contributor.affiliatedAuthor | Kim, Dong Seok | - |
dc.contributor.affiliatedAuthor | Kim, Jung Hee | - |
dc.citation.volume | 25 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 453 | - |
dc.citation.endPage | 459 | - |
dc.identifier.bibliographicCitation | CHILDS NERVOUS SYSTEM, Vol.25(4) : 453-459, 2009 | - |
dc.identifier.rimsid | 56105 | - |
dc.type.rims | ART | - |
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