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
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- EP ID EP616983
- DOI 10.14260/jemds/2019/335
- Views 84
- Downloads 0
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