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 71
- Downloads 0
ROLE OF VARIOUS IMAGING MODALITIES AFTER A FIRST FEBRILE URINARY TRACT INFECTION IN YOUNG CHILDREN
BACKGROUND UTI in the paediatric population is well-recognised as the cause of acute morbidity and chronic medical conditions such as hypertension and renal insufficiency in adulthood.1 The goal of imaging studies in chi...
AGE ESTIMATION BY CORRELATION OF PHYSICAL AND DENTAL WITH RADIOLOGICAL FINDINGS
BACKGROUND Age estimation is of paramount importance and requires special attention in medico-legal cases. In developing countries like India, because of illiteracy and ignorance regarding the importance of official reco...
STUDY OF PATTERN OF VISUAL IMPAIRMENT IN PATIENTS SEEKING VISUAL DISABILITY CERTIFICATE
PURPOSE To determine the severity and various causes of visual impairment in patients seeking visual disability certificate. METHODS Cross-sectional study of patients seeking visual disability certificate from N...
EVALUATION OF EFFECTIVENESS OF MYRINGOTOMY AND MYRINGOTOMY WITH VENTILATION TUBE INSERTION AS TREATMENT OF OTITISMEDIA WITH EFFUSION IN CHILDREN
[b] BACKGROUND:[/b] Considerable uncertainty and controversies exists regarding the surgical treatment options of Otitis media with effusion (OME). As untreated or improperly treated longstanding OME causes proble...
STUDY OF CYTOLOGICAL PATTERN IN TUBERCULAR LYMPHADENOPATHY AND ITS CORRELATION WITH ZIEHL-NEELSEN STAINING
BACKGROUND Tubercular lymphadenopathy is the most common form of extrapulmonary tuberculosis accounting for 50% - 65% of cases. Though confirmative evidence of tubercular lymphadenopathy is AFB culture or excisional biop...