Posterior fossa surgeries have been known to be associated with hydrodynamic complications such as cerebrospinal fluid (CSF) leakage and the development of pseudomeningocele. Increased hydrodynamic complication rates can be attributed to increased …

A commonly admitted pathogenic mechanism for HD is “dural sac dysplasia,” i.e., the disproportion between the growth of the spinal dura mater and the growth of the spine itself, leading to a “tight” dural sac [ 5 ]. Hence, anatomical features often …

Posterior fossa decompression is the main therapeutic strategy for management of pediatric Chiari type 1 malformation (CM-1). Various surgical procedures are available, including bone-only posterior fossa decompression, posterior fossa …

Foramen magnum decompression (FMD) requires detailed knowledge of the surgical anatomy of the muscles, bones, and ligaments of the posterior cranio-vertebral junction and the posterior cerebellar and medullary surfaces.

Several complications have been reported after the use of grafts for duraplasty following posterior fossa decompression for the treatment of Chiari malformation type I. This study aims to investigate the rate of meningitis after posterior fossa …

Chiari malformation type I malformation (CMI) is a common nervous system disease characterized by herniation of the small brain and is often accompanied by basilar impression. It was first proposed by Hans Chiari in 1891. It often occurs in …

A Chiari malformation (CM) is the downward displacement of the cerebellar tonsils through the foramen magnum into the upper cervical spinal canal [ 1 ]. With the increasing availability of neuroimaging, up to 1% of the general population is being …

Chiari malformation type I is a developmental abnormality with an array of surgical techniques introduced for the management of it. The most common technique is foramen magnum decompression with duraplasty. Dura-splitting technique as one of the …

Chiari malformation type I (CMI) is a congenital deformity in which the cerebellar tonsils herniate 5 mm or more below the foramen magnum [ 1 ]. Such herniation can obstruct the normal outflow of cerebrospinal fluid (CSF) from the ventricular …

The management of Chiari I malformation (CIM) still keeps on raising the problem of the optimal surgical treatment. Namely, the “eternal dilemma” of the posterior fossa bony decompression alone (PFBD) or with duraplasty (PFBDD) is continuously …

Hypertensive intracerebral hemorrhage (ICH) has high morbidity and mortality rates. Decompressive craniectomy (DC) is generally used for the treatment of cases associated with refractory increased intracranial pressure (ICP). In this study, we …

The treatment of Chiari malformation type 1 (CM-I) with posterior fossa decompression without (PFD) or with duraplasty (PFDD) is controversial. Our aim is to compare the clinical outcome between the two methods for the treatment of CM-I. In this …

The dura mater constitutes a barrier against superficial infection, avoids contamination from blood of the superficial tissues, and supports the brain [ 19 ]. Duraplasty is a reconstructive surgical procedure of the dura mater in which hermetic …

A method of opening dura for decompressive craniectomies is described. Numerous cuts intersecting in a lattice pattern allow the dura to expand in a gradual and controlled manner minimising the chances of cortical laceration or venous kinking on …

Various tissue grafts have been used for dural augmentation in Chiari decompression surgery, but no consensus exists as to the optimal material [ 1 , 5 , 6 ]. Common problems include a propensity to leak and cause pseudomeningocele, the induction …

Bovine pericardium has been widely used for grafts in cardiac surgery and seems to have suitable properties for use as a dural graft. We report on the use of solvent-preserved, gamma-sterilized Tutoplast bovine pericardium for dural grafts in 32 …

The use of decompressive craniectomy for massive cerebral infarction is attracting renewed interest because conventional medical treatment is associated with high mortality. The technique of duraplasty may be important. We have developed a 4 step …

Surgery is the only treatment available for the Chiari I malformation (CMI); however, multiple methods exist for this procedure. Moreover, one topic of current debate is whether or not duraplasty is necessary for this procedure. Despite the fact …

Neurological manifestations of pediatric tethered cord syndrome (pTCS) are well described and are thought to occur due to increased tension, compression, and ischemia of the spinal cord [ 7 – 11 , 13 , 16 , 19 , 21 ]. Secondary tethering may result …