Posterior fossa decompression with duraplasty in Chiari surgery: A technical note
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017001100946 |
Resumo: | Summary Chiari malformation (CM) is the most common and prevalent symptomatic congenital craniocervical malformation. Radiological diagnosis is established when the cerebellar tonsils are located 5 mm or more below the level of the foramen magnum on magnetic resonance imaging (MRI). Surgical treatment is indicated whenever there is symptomatic tonsillar herniation or syringomyelia/hydrocephalus. The main surgical treatment for CM without craniocervical instability (such as atlantoaxial luxation) is posterior fossa decompression, with or without duraplasty. The authors describe in details and in a stepwise fashion the surgical approach of patients with CM as performed at the State University of Campinas, emphasizing technical nuances for minimizing the risks of the procedure and potentially improving patient outcome. |
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Posterior fossa decompression with duraplasty in Chiari surgery: A technical noteArnold-Chiari malformation/surgerycerebellum/pathologyneural tube defectsSummary Chiari malformation (CM) is the most common and prevalent symptomatic congenital craniocervical malformation. Radiological diagnosis is established when the cerebellar tonsils are located 5 mm or more below the level of the foramen magnum on magnetic resonance imaging (MRI). Surgical treatment is indicated whenever there is symptomatic tonsillar herniation or syringomyelia/hydrocephalus. The main surgical treatment for CM without craniocervical instability (such as atlantoaxial luxation) is posterior fossa decompression, with or without duraplasty. The authors describe in details and in a stepwise fashion the surgical approach of patients with CM as performed at the State University of Campinas, emphasizing technical nuances for minimizing the risks of the procedure and potentially improving patient outcome.Associação Médica Brasileira2017-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017001100946Revista da Associação Médica Brasileira v.63 n.11 2017reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.63.11.946info:eu-repo/semantics/openAccessSabba,Marcelo FerreiraRenor,Beatriz SouzaGhizoni,EnricoTedeschi,HelderJoaquim,Andrei Fernandeseng2018-02-09T00:00:00Zoai:scielo:S0104-42302017001100946Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2018-02-09T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Posterior fossa decompression with duraplasty in Chiari surgery: A technical note |
title |
Posterior fossa decompression with duraplasty in Chiari surgery: A technical note |
spellingShingle |
Posterior fossa decompression with duraplasty in Chiari surgery: A technical note Sabba,Marcelo Ferreira Arnold-Chiari malformation/surgery cerebellum/pathology neural tube defects |
title_short |
Posterior fossa decompression with duraplasty in Chiari surgery: A technical note |
title_full |
Posterior fossa decompression with duraplasty in Chiari surgery: A technical note |
title_fullStr |
Posterior fossa decompression with duraplasty in Chiari surgery: A technical note |
title_full_unstemmed |
Posterior fossa decompression with duraplasty in Chiari surgery: A technical note |
title_sort |
Posterior fossa decompression with duraplasty in Chiari surgery: A technical note |
author |
Sabba,Marcelo Ferreira |
author_facet |
Sabba,Marcelo Ferreira Renor,Beatriz Souza Ghizoni,Enrico Tedeschi,Helder Joaquim,Andrei Fernandes |
author_role |
author |
author2 |
Renor,Beatriz Souza Ghizoni,Enrico Tedeschi,Helder Joaquim,Andrei Fernandes |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Sabba,Marcelo Ferreira Renor,Beatriz Souza Ghizoni,Enrico Tedeschi,Helder Joaquim,Andrei Fernandes |
dc.subject.por.fl_str_mv |
Arnold-Chiari malformation/surgery cerebellum/pathology neural tube defects |
topic |
Arnold-Chiari malformation/surgery cerebellum/pathology neural tube defects |
description |
Summary Chiari malformation (CM) is the most common and prevalent symptomatic congenital craniocervical malformation. Radiological diagnosis is established when the cerebellar tonsils are located 5 mm or more below the level of the foramen magnum on magnetic resonance imaging (MRI). Surgical treatment is indicated whenever there is symptomatic tonsillar herniation or syringomyelia/hydrocephalus. The main surgical treatment for CM without craniocervical instability (such as atlantoaxial luxation) is posterior fossa decompression, with or without duraplasty. The authors describe in details and in a stepwise fashion the surgical approach of patients with CM as performed at the State University of Campinas, emphasizing technical nuances for minimizing the risks of the procedure and potentially improving patient outcome. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-11-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017001100946 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017001100946 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.63.11.946 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.63 n.11 2017 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
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1754212832989151232 |