Posterior fossa decompression with duraplasty in Chiari surgery: A technical note

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Posterior fossa decompression with duraplasty in Chiari-1 malformations.

OBJECTIVE To evaluate the symptomatic outcome after PFD (Posterior Fossa Decompression) with duraplasty in Chiari-1 malformations. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Neurosurgery, JPMC, Karachi, from July 2008 to September 2012. METHODOLOGY This included 21 patients of Chiari 1 malformations admitted in department through OPD with clinical features of head...

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Duraplasty is required for Chiari decompression!

We read the article by Hayhurst et al. on ‘Hindbrain decompression for Chiari-syringomyelia complex: an outcome analysis comparing surgical techniques’ with interest. We found the authors conclusions on bone only decompression interesting and worth discussion. The literature on Chiari decompression strongly supports duraplasty in symptomatic patients with Chiari malformation. We previously repo...

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Comparison of posterior fossa decompression with and without duraplasty for the surgical treatment of Chiari malformation Type I in pediatric patients: a meta-analysis.

OBJECT Surgery for Chiari malformation Type I (CM-I) is one of the most common neurosurgical procedures performed in children, although there is clearly no consensus among practitioners about which surgical method is preferred. The objective of this meta-analysis was to compare the outcome of posterior fossa decompression with duraplasty (PFDD) and posterior fossa decompression without duraplas...

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Posterior fossa decompression with tonsillectomy in 104 cases of basilar impression, Chiari malformation and/or syringomyelia.

The prime objective in the surgical treatment of basilar impression (BI), Chiari malformation (CM) and/or syringomyelia (SM) is based on the restoration of the normal cerebrospinal fluid (CSF) dynamics at the craniovertebral junction through the creation of a large artificial cisterna magna. A small suboccipital craniectomy has been emphasized to avoid caudal migration of the hindbrain structur...

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Posterior fossa volume and response to suboccipital decompression in patients with Chiari I malformation.

Smaller posterior fossa (PF) volume has been suggested to be one of the mechanisms responsible for tonsillar herniation through the foramen magnum in patients with Chiari I malformation (CM I). Although previous radiological analyses of the cranial anatomy have suggested a smaller PF volume in patients with CM I, the relationship of the PF volume to decompressive surgery has not been reported. ...

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ژورنال

عنوان ژورنال: Revista da Associação Médica Brasileira

سال: 2017

ISSN: 1806-9282,0104-4230

DOI: 10.1590/1806-9282.63.11.946