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
ROLE OF PLEURAL FLUID CHOLESTEROL IN DIFFERENTIATING TRANSUDATIVE AND EXUDATIVE PLEURAL EFFUSION
BACKGROUND Pleural effusion is defined as an abnormal and excessive collection of fluid in the pleural space. The most common cause in the West and India are infections followed by malignancy. In India, tubercular effusi...
CLINICAL STUDY OF CLEFT LIP AND PALATE AND RARE FACIAL CLEFTS IN UPPER ASSAM AND ARUNACHAL PRADESH
BACKGROUND Facial clefts occur in varying degree of severity and variety of patterns. It is a nightmare which every parent wants to avoid. Facial clefts occur when the structures contributing to the formation of face nam...
CERVICAL LYMPHANGIOMA IN ADULT- A CASE REPORT
PRESENTATION OF CASE A 28-years-old female patient presented with complaints of swelling on the left side of neck of 2 months duration. The swelling was insidious in onset and progressive in nature. There was no history...
MORPHOLOGICAL STUDY OF ATTACHMENT OF COSTOCLAVICULAR LIGAMENT ON THE CLAVICLE IN SOUTH INDIAN POPULATION
BACKGROUND Clavicle is an important bone concerned with movements of upper limb. It has a shaft and two ends, sternal end and acromial end. Inferior surface of the sternal end presents with an impression called costoclav...
A STUDY ON THE PATTERNS AND VARIATIONS IN THE TERTIARY BRONCHI OF RIGHT LOWER LOBE OF HUMAN LUNG
BACKGROUND Ten bronchopulmonary segments are described for each lung. Foreign bodies and other aspirated materials tend to enter the right instead of the left bronchus, because the former is wider and more in continuatio...