Conservative treatment of juvenile with Chiari I malformation, syringomyelia and scoliosis. Two case reports
نویسندگان
چکیده
Background Scoliosis improvement after surgical treatment of Chiari I and syrinx has been reported [1]. Incidence of scoliosis progression after decompression surgery has been reported as high as 48%. The conservative treatment with brace in these patients is not effective and scoliosis is typically progressive [2]. Spontaneous resolution of CT syrinx and Chiari I in paediatric population is uncommon. We have previously published a unique case report of an 8-year-old girl, showing resolution of syrinx and Chiari I, as well as scoliosis reduction of scoliosis during brace treatment [3]. We present results after longer follow up, together with a new case of good response to bracing, in a girl showing scoliosis progression after neurosurgical treatment.
منابع مشابه
Conservative treatment of juvenile with Chiari I malformation, syringomyelia, and scoliosis
Background Numerous studies suggest a non-chance association among Chiari, syringomyelia, and scoliosis, though the relationship remains a mystery. Studies suggest that more than sixty percent of patients receiving decompression surgery had no change (14%) or a worsening (48%) of their scoliosis symptoms. Curve reduction following Chiari treatment through the utilization of conservative scolios...
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Spinal deformity is an important clinical manifestation of Chiari I malformation (CM-I) and syringomyelia. Here we report the result of an 8-year follow-up of a 13-year-old girl with severe scoliosis associated with Chiari malformation and a large syringomyelia. The patient presented at our hospital at the age of 13 with a 68° scoliosis. Magnetic resonance imaging showed Chiari malformation and...
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In a prospective trial we performed MRI of the spine and hind brain in 31 patients with scoliosis of onset between the ages of four and 12 years. In eight patients (26%) there was a significant neuroanatomical abnormality; there were six cases of Chiari-1 malformation associated with a syrinx, one isolated Chiari-1 malformation and one astrocytoma of the cervical spine. Four of these patients h...
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Introduction: The differential diagnosis of idiopathic and syringomyelia associated scoliosis is important because corrective surgery for scoliosis associated with syringomyelia prior to management of syringomyelia can be dangerous. There are important imaging indicators for diagnosis of syringomyelia associated with scoliosis. A few of these indicators have been assessed in our study. Methods...
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