Basilar impression associated with impacted cisterna magna, spastic paraparesis and distress of balance: case report

Author:

Gonçalves da Silva José Alberto1,Holanda Maurus Marques de Almeida1,Leiros Maria do Desterro1,Melo Luiz Ricardo Santiago1,Araújo Antônio Fernandes de1,Almeida Everardo Bandeira de1

Affiliation:

1. Hospital Santa Isabel, Brazil

Abstract

We report on a 48 years-old man with basilar impression without syringohydromyelia, in which the cisterna magna was impacted by the cerebellar tonsils. Six months after posterior fossa decompression there was the disappearance of nuchal rigidity, vertigo, spastic paraparesis and improvement of balance. Nevertheless hyperreflexia and diminished pallesthesia of the lower limbs persisted.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference16 articles.

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3. The resolution of syringohydromyelia without hindbrain herniation after posterior fossa decompression;Iskandar BJ;J Neurosurg,1998

4. Syringomyelia without hindbrain herniation: tight cisterna magna: report of four cases and review of the literature;Kyoshima K;J Neurosurg (Spine 2),2002

5. Resultados do tratamento cirúrgico da impressão basilar e malformação de Arnold-Chiari: estudo de 72 casos;Gonçalves da Silva JA

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