A STUDY ON FORAMEN MAGNUM DECOMPRESSION AND DUROPLASTY AND ITS CLINICAL OUTCOME ON ACM WITH SYRINGOMYELIA- OUR INSTITUTE EXPERIENCE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 18
Abstract
BACKGROUND Various operative techniques have been tried for the treatment of syringomyelia with ACM type-1. We studied foramen magnum decompression at our institute. METHODS The operative outcome of foramen magnum decompression in 20 patients with syrinx with Chiari I malformations is studied. There were 9 women & 11 men in the study sample. Foramen magnum decompression combined with lax duroplasty with G patch and removal of fibrous band was done in all the cases. RESULTS Over an average period of 2 years of follow up after surgery (range, 6 months to 2 yrs.), clinical presentations showed improvement in 16 of 20 cases and remained same in 4 cases. Postoperative MRI scans taken 4 weeks after the surgery demonstrated adequate decompression at foramen magnum, free sub arachnoid space around the upper cervical cord, posterior surface of medulla and cerebellum. CONCLUSIONS Foramen magnum decompression with lax duroplasty is recommended first line surgical management for ACM with syringomyelia.
Authors and Affiliations
Kadali Satya Varaprasad, Kalangri Murali Krishna, Srinivasa Rao Y.
Keywords
Related Articles
- EP ID EP616983
- DOI 10.14260/jemds/2019/335
- Views 92
- Downloads 0
STUDY ON AETIOLOGY & RISK FACTORS IN SPONTANEOUS LATE PRETERM PREMATURE RUPTURE OF MEMBRANES
BACKGROUND Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks’ gestation. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deli...
STUDY OF CLINICAL, LABORATORY PROFILE AND OUTCOME OF DENGUE FEVER ADMITTED IN PAEDIATRIC WARD OF A TERTIARY CARE HOSPITAL OF WESTERN UTTAR PRADESH, INDIA
BACKGROUND Dengue Fever epidemic resurfaced this year after 2005 with more number of cases and with varying presentations and complications. The presentation can vary from a mild febrile illness to severe refractory shoc...
SPINDLE CELL CARCINOMA OF NOSE - A CASE REPORT
Spindle cell carcinoma is a rare variant of squamous cell carcinoma. The most frequently affected site is larynx, however, it may infrequently occur in various organs; gingiva, tongue, upper aerodigestive tract...
CLINICODEMOGRAPHIC PROFILE AND RISK FACTORS OF STROKE IN DIABETIC AND NONDIABETIC PATIENTS IN VINDHYA REGION
BACKGROUND Stroke is defined as abrupt onset of neurologic deficit that is attributable to a focal vascular cause. It represents the second most common cause of mortality and the third most common cause of disability in...
ROLE OF SERUM FERRITIN AND SERUM AMINOTRANSFERASES IN PREDICTING THE SEVERITY IN DENGUE FEVER WITH THROMBOCYTOPENIA
BACKGROUND Dengue fever is an important cause of febrile illness in the tropical and subtropical areas and over 2.5 billion people, over 40% of the world population are now at risk from dengue1. WHO currently estimates t...