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Journal of Korean Neurosurgical Society 1997;26(8): 1149-1153.
Chiari I Malformation Associated with Syringomyelia Treated with Foramen Magnum Decompression.
Byung Moon Cho, Se Hyuck Park, Sae Moon Oh, Kyu Ho Lee
Department of Neurosurgery, College of Medicine, Hallym University, Kangdong Sacred Heart Hospital, Seoul, Korea.
ABSTRACT
The authors report two cases of Chiari I malformation associated with syringomyelia. The first is that of a 45-year-old woman with neck and shoulder pain and the other, a 24-year-old man with neck pain. In the former, MRI revealed caudal descent of the cerebellar tonsil to the C2 level and a large eccentric syrinx from the C2-T6 levels ; in the man, MRI showed caudal descent of the cerebellar tonsil to the C2 level and a large eccentric syrinx from the C2-T4 levels. We successfully treated these patients by foramen magnum decompression and duroplasty. Theories of Chiari I malformation associated with syringomyelia, as well as clinical signs and symptoms, and management techniques, are discussed.
Key Words: Chiari I malformation; Syringomyelia; Tonsillar herniation; Foramen magnum decompression
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