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Factors contributing improvement of syringomyelia and surgical outcome in type I Chiari malformation

DC Field Value Language
dc.contributor.author김정희-
dc.contributor.author박영석-
dc.contributor.author심규원-
dc.contributor.author최중언-
dc.contributor.author김동석-
dc.date.accessioned2015-04-24T16:47:55Z-
dc.date.available2015-04-24T16:47:55Z-
dc.date.issued2009-
dc.identifier.issn0256-7040-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/104191-
dc.description.abstractOBJECTIVE: 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.statementOfResponsibilityopen-
dc.format.extent453~459-
dc.relation.isPartOfCHILDS NERVOUS SYSTEM-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHAnalysis of Variance-
dc.subject.MESHArnold-Chiari Malformation/complications-
dc.subject.MESHArnold-Chiari Malformation/surgery*-
dc.subject.MESHCerebellum/surgery*-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHCranial Fossa, Posterior/surgery*-
dc.subject.MESHCraniotomy-
dc.subject.MESHDecompression, Surgical*-
dc.subject.MESHFemale-
dc.subject.MESHHead/pathology-
dc.subject.MESHHead/surgery-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHLinear Models-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSyringomyelia/etiology-
dc.subject.MESHSyringomyelia/surgery*-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHYoung Adult-
dc.titleFactors contributing improvement of syringomyelia and surgical outcome in type I Chiari malformation-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorYoung Seok Park-
dc.contributor.googleauthorDong-Seok Kim-
dc.contributor.googleauthorKyu-Won Shim-
dc.contributor.googleauthorJung-Hee Kim-
dc.contributor.googleauthorJoong-Uhn Choi-
dc.identifier.doi10.1007/s00381-008-0763-9-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01568-
dc.contributor.localIdA02187-
dc.contributor.localIdA04194-
dc.contributor.localIdA00402-
dc.contributor.localIdA00909-
dc.relation.journalcodeJ00525-
dc.identifier.eissn1433-0350-
dc.identifier.pmid19057907-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00381-008-0763-9-
dc.subject.keywordChiari malformation-
dc.subject.keywordSyringomyelia-
dc.subject.keywordSuboccipital decompression-
dc.subject.keywordShunt-
dc.subject.keywordPosterior fossa-
dc.contributor.alternativeNameKim, Jung Hee-
dc.contributor.alternativeNamePark, Young Seok-
dc.contributor.alternativeNameShim, Kyu Won-
dc.contributor.alternativeNameChoi, Joong Uhn-
dc.contributor.alternativeNameKim, Dong Seok-
dc.contributor.affiliatedAuthorPark, Young Seok-
dc.contributor.affiliatedAuthorShim, Kyu Won-
dc.contributor.affiliatedAuthorChoi, Joong Uhn-
dc.contributor.affiliatedAuthorKim, Dong Seok-
dc.contributor.affiliatedAuthorKim, Jung Hee-
dc.citation.volume25-
dc.citation.number4-
dc.citation.startPage453-
dc.citation.endPage459-
dc.identifier.bibliographicCitationCHILDS NERVOUS SYSTEM, Vol.25(4) : 453-459, 2009-
dc.identifier.rimsid56105-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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