Immediate postoperative resolution of syrinx post-C1/C2 fixation in an operated case of foramen magnum decompression for Chiari malformation: Is Goel’s procedure a rescue surgery or a gold standard?

Author:

Chugh Ashish1,Punia Prashant1,Gotecha Sarang1,Gaud Jayant Arun1,Reddy Rajeev1,Aziz Ramis Abdul1

Affiliation:

1. Department of Neurosurgery, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India

Abstract

ABSTRACT Chiari malformation (CM) is a common neurological disorder with foramen magnum decompression (FMD) as a commonly accepted treatment. The authors present a case of CM-1 wherein there was no radiological instability preoperatively and FMD was done as a treatment, after which the patient improved transiently only to deteriorate further. Atlantoaxial fixation was done as a second-stage procedure, after which the patient improved clinically and radiologically. The knowledge of this case and surgical entity should be borne in mind before the formulation of a treatment plan. It is important that the solution is to identify and treat the underlying pathology rather than to decompress and directly manipulate the tonsils.

Publisher

Medknow

Reference21 articles.

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2. Orofacial clinical features in Arnold Chiari type I malformation: A case series;de Arruda;J Clin Exp Dent,2018

3. Atlantoaxial fixation using plate and screw method: A report of 160 treated patients;Goel;Neurosurgery,2002

4. Surgical treatment of chiari malformation with and without syringomyelia: Experience with 177 adult patients;Batzdorf;J Neurosurg,2013

5. Changes in the cerebellum resulting hydrocephalus;Chiari;German medical weekly,1891

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