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Published in: Child's Nervous System 9/2009

Open Access 01-09-2009 | Technical Note

Suboccipital craniotomy in the surgical treatment of Chiari I malformation

Authors: Yu-Cheng Chou, Rajashree Sarkar, Ferdnand C. Osuagwu, Jorge A. Lazareff

Published in: Child's Nervous System | Issue 9/2009

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Abstract

Object

The object of this study was to present craniotomy for Chiari type I patients.

Materials and methods

Six patients with Chiari type I underwent suboccipital craniotomy. All patients showed clinical improvement, and none had any complications. Two patients had syringomyelia; it disappeared in entirety. We describe the procedure for posterior fossa decompression.

Results

Three-dimensional volumetric analysis using Vitrea workstation for postoperative posterior fossa volumes was calculated and was seen to have been increased on an average, from pre-operative (168 cc) to postoperative volume (192 cc).

Conclusion

We thus conclude that suboccipital craniotomy results in resolution of the Chiari symptoms yet achieves effective expansion of posterior fossa.
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Metadata
Title
Suboccipital craniotomy in the surgical treatment of Chiari I malformation
Authors
Yu-Cheng Chou
Rajashree Sarkar
Ferdnand C. Osuagwu
Jorge A. Lazareff
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 9/2009
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-009-0913-8

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