Outcome of Chiari-associated syringomyelia after hindbrain decompression in children: Analysis of 49 consecutive cases

Neurosurgery

Volumn 62, Issue 6, 2008, Pages 1307-1313

  Attenello, Frank J ^a   McGirt, Matthew J ^a,b   Gathinji, Muraya ^a   Datoo, Ghazala ^a   Atiba, April ^a   Weingart, Jon ^a   Carson, Benjamin ^a   Jallo, George I ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b NONE   (United States)

Author keywords

Chiari malformation; Outcome; Risk factors; Syringomyelia

Indexed keywords

ARNOLD CHIARI MALFORMATION; ARTICLE; BASILAR IMPRESSION; BRAIN DECOMPRESSION; CHILD; CLINICAL ARTICLE; CLINICAL ASSESSMENT; COMORBIDITY; DISEASE ASSOCIATION; DYSESTHESIA; FEMALE; FOLLOW UP; GAIT DISORDER; HEADACHE; HUMAN; HYDROCEPHALUS; INCONTINENCE; INVAGINATION; MALE; MEDICAL DECISION MAKING; NEUROLOGIC DISEASE; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOME ASSESSMENT; PARESTHESIA; PATIENT EDUCATION; PERIOPERATIVE COMPLICATION; PRIORITY JOURNAL; RHOMBENCEPHALON; RISK FACTOR; SCOLIOSIS; SPINE FUSION; SURGICAL TECHNIQUE; SYRINGOMYELIA; WEAKNESS;

ADOLESCENT; ARNOLD-CHIARI MALFORMATION; CHILD; CHILD, PRESCHOOL; COHORT STUDIES; DECOMPRESSION, SURGICAL; FEMALE; HUMANS; MALE; RETROSPECTIVE STUDIES; RHOMBENCEPHALON; SURVIVAL ANALYSIS; SYRINGOMYELIA; TREATMENT OUTCOME;

EID: 56849108089     PISSN: 0148396X     EISSN: None     Source Type: Journal    
DOI: 10.1227/01.neu.0000333302.72307.3b     Document Type: Article

References (38)

1. Alzate JC, Kothbauer KF, Jallo GI, Epstein FJ: Treatment of Chiari I malformation in patients with and without syringomyelia: A consecutive series of 66 cases. Neurosurg Focus 11:E3, 2001.
2. Armonda RA, Citrin CM, Foley KT, Ellenbogen RG: Quantitative cine-mode magnetic resonance imaging of Chiari I malformations: An analysis of cerebrospinal fluid dynamics. Neurosurgery 35:214-224, 1994.
3. Attal N, Parker F, Tadié M, Aghakani N, Bouhassira D: Effects of surgery on the sensory deficits of syringomyelia and predictors of outcome: A long term prospective study. J Neurol Neurosurg Psychiatry 75:1025-1030, 2004.
4. Ball MJ, Dayan AD: Pathogenesis of syringomyelia. Lancet 2:799-801, 1972.
5. Banerji NK, Millar JH: Chiari malformation presenting in adult life. Its relationship to syringomyelia. Brain 97:157-168, 1974.
6. Bogdanov EI, Mendelevich EG: Syrinx size and duration of symptoms predict the pace of progressive myelopathy: Retrospective analysis of 103 unoperated cases with craniocervical junction malformations and syringomyelia. Clin Neurol Neurosurg 104:90-97, 2002.
7. Bruns AH, Oosterheert JJ, Prokop M, Lammers JW, Hak E, Hoepelman AI: Patterns of resolution of chest radiograph abnormalities in adults hospitalized with severe community-acquired pneumonia. Clin Infect Dis 45:983-991, 2007.
8. Cox D: Regression models and life tables. J R Stat Soc Series B 34:187-220, 1972.
9. Depreitere B, Van Calenbergh F, van Loon J, Goffin J, Plets C: Posterior fossa decompression in syringomyelia associated with a Chiari malformation: A retrospective analysis of 22 patients. Clin Neurol Neurosurg 102:91-96, 2000.
10. Di Lorenzo N, Palma L, Palatinsky E, Fortuna A: "Conservative" craniocervical decompression in the treatment of syringomyelia-Chiari I complex. A prospective study of 20 adult cases. Spine 20:2479-2483, 1995.
11. Doughty KE, Tubbs RS, Webb D, Oakes WJ: Delayed resolution of Chiari I-associated hydromyelia after posterior fossa decompression: Case report and review of the literature. Neurosurgery 55:711, 2004.
12. Dyste GN, Menezes AH, VanGilder JC: Symptomatic Chiari malformations. An analysis of presentation, management, and long-term outcome. J Neurosurg 71:159-168, 1989.
13. Ellenbogen RG, Armonda RA, Shaw DW, Winn HR: Toward a rational treatment of Chiari I malformation and syringomyelia. Neurosurg Focus 8:E6, 2000.
14. Feldstein NA, Choudhri TF: Management of Chiari I malformations with holocord syringohydromyelia. Pediatric Neurosurg 31:143-149, 1999.
15. Galarza M, Sood S, Ham S: Relevance of surgical strategies for the management of pediatric Chiari type I malformation. Childs Nerv Syst 23:691-696, 2007.
16. Goel A, Desai K: Surgery for syringomyelia: An analysis based on 163 surgical cases. Acta Neurochir (Wien) 142:293-302, 2000.
17. Greenlee JD, Donovan KA, Hasan DM, Menezes AH: Chiari I malformation in the very young child: The spectrum of presentations and experience in 31 children under age 6 years. Pediatrics 110:1212-1219, 2002.
18. Heiss JD, Patronas N, DeVroom HL, Shawker T, Ennis R, Kammerer W, Eidsath A, Talbot T, Morris J, Eskioglu E, Oldfield EH: Elucidating the pathophysiology of syringomyelia. J Neurosurg 91:553-562, 1999.
19. Hida K, Iwasaki Y, Koyanagi I, Abe H: Pediatric syringomyelia with Chiari malformation: Its clinical characteristics and surgical outcomes. Surg Neurol 51:383-391, 1999.
20. Honkaniemi J, Dastidar P, Kähärä V, Haapasalo H: Delayed MR imaging changes in acute disseminated encephalomyelitis. AJNR Am J Neuroradiol 22:1117-1124, 2001.
21. Iskandar BJ, Hedlund GL, Grabb PA, Oakes WJ: The resolution of syringohydromyelia without hindbrain herniation after posterior fossa decompression. J Neurosurg 89:212-216, 1998.
22. Isu T, Sasaki H, Takamura H, Kobayashi N: Foramen magnum decompression with removal of the outer layer of the dura as treatment for syringomyelia occurring with Chiari I malformation. Neurosurgery 33:844-850, 1993.
23. Kaplan E, Meier P: Nonparametric estimation from incomplete observations. J Am Stat Assoc 53:457-481, 1958.
24. Klekamp J: The pathophysiology of syringomyelia-historical overview and current concept. Acta Neurochir (Wien) 144:649-664, 2002.
25. Krieger MD, McComb JG, Levy ML: Toward a simpler surgical management of Chiari I malformation in a pediatric population. Pediatr Neurosurg 30:113-121, 1999.
26. Levine DN: The pathogenesis of syringomyelia associated with lesions at the foramen magnum: A critical review of existing theories and proposal of a new hypothesis. J Neurol Sci 220:3-21, 2004.
27. Logue V, Edwards MR: Syringomyelia and its surgical treatment - an analysis of 75 patients. J Neurol Neurosurg Psychiatry 44:273-284, 1981.
28. Mazzola CA, Fried AH: Revision surgery for Chiari malformation decompression. Neurosurg Focus 15:E3, 2003.
29. Munshi I, Frim D, Stine-Reyes R, Weir BK, Hekmatpanah J, Brown F: Effects of posterior fossa decompression with and without duraplasty on Chiari malformation-associated hydromyelia. Neurosurgery 46:1384-1390, 2000.
30. Ozerdemoglu RA, Transfeldt EE, Denis F: Value of treating primary causes of syrinx in scoliosis associated with syringomyelia. Spine 28:806-814, 2003.
31. Park JK, Gleason PL, Madsen JR, Goumnerova LC, Scott RM: Presentation and management of Chiari I malformation in children. Pediatr Neurosurg 26:190-196, 1997.
32. Pritz MB: Surgical treatment of Chiari I malformation: Simplified technique and clinical results. Skull Base 13:173-177, 2003.
33. Sengupta DK, Dorgan J, Findlay GF: Can hindbrain decompression for syringomyelia lead to regression of scoliosis? Eur Spine J 9:198-201, 2000.
34. Tubbs RS, McGirt MJ, Oakes WJ: Surgical experience in 130 pediatric patients with Chiari I malformations. J Neurosurg 99:291-296, 2003.
35. Tubbs RS, Webb DB, Oakes WJ: Persistent syringomyelia following pediatric Chiari I decompression: Radiological and surgical findings. J Neurosurg 100:460-464, 2004.
36. Ventureyra EC, Aziz HA, Vassilyadi M: The role of cine flow MRI in children with Chiari I malformation. Childs Nerv Syst 19:109-113, 2003.
37. Wu YW, Chin CT, Chan KM, Barkovich AJ, Ferriero DM: Pediatric Chiari I malformations: Do clinical and radiologic features correlate? Neurology 53:1271-1276, 1999.
38. Zadeh HG, Sakka SA, Powell MP, Mehta MH: Absent superficial abdominal reflexes in children with scoliosis. An early indicator of syringomyelia. J Bone Joint Surg Br 77:762B-767B, 1995.