Published in:
Open Access
01-09-2016 | How I Do it - Neurosurgical Techniques
Minimally invasive subpial tonsillectomy for Chiari I decompression
Authors:
Jeffrey S. Beecher, Yong Liu, Xiaoming Qi, Paolo A. Bolognese
Published in:
Acta Neurochirurgica
|
Issue 9/2016
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Abstract
Background
A number of different surgical techniques have been used through the years to address Chiari I malformation (CMI).
Methods
This article describes how we surgically manage CMI at two high-volume centers. We call the technique the minimally invasive subpial tonsillectomy (MIST). The technique consists of a minimalistic dissection and craniectomy with a short, linear durotomy for the subpial tonsillar resection. The dura is closed without the use of a duraplasty.
Conclusions
We describe our current methods of surgery for CMI.