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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. |
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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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