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Czasopismo

2015 | 74 | 3 |

Tytuł artykułu

Chiari type I malformation with high foramen magnum anomaly

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
A 14-year-old male with a neck pain and hypoesthesia in the upper extremities was diagnosed with Chiari type I malformation (CMI) and syringomyelia. The posterior part of the occipital bone was removed via cranio-cervical decompression. The accuracy of measuring the posterior cranial fossa (PCF) and foramen magnum (FM) dimensions were evaluated and compared with the literature. The linear PCF and FM dimensions as well as volumes were measured using computed tomography (CT) images with different techniques. The volume data were compared with similar data from literature. Use of the posterior fossa approach remains controversial when treating patients with minor little brain stem dislocation, small PCF, and or incomplete C1, but the approach can easily be applied if FM and PCF sizes are known. Linear measurements that were assessed for concordance with CT measurements had the best agreement. Quantification of PCF volume and high FM should be taken into consideration for differential diagnosis of tonsillar herniation and prediction of surgical outcome in CMI. (Folia Morphol 2015; 74, 3: 402–406)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

74

Numer

3

Opis fizyczny

p.402-406,fig.,ref.

Twórcy

  • Department of Neurosurgery, Medical Faculty, Erciyes University, Kayseri, Turkey
autor
  • Department of Anatomy, Medical Faculty, Erciyes University, Kayseri, Turkey
autor
  • Department of Neurosurgery, Medical Faculty, Erciyes University, Kayseri, Turkey
autor
  • Department of Radiology, Medical Faculty, Erciyes University, Kayseri, Turkey
autor
  • Department of Neurosurgery, Medical Faculty, Erciyes University, Kayseri, Turkey
autor
  • Department of Neurosurgery, Medical Faculty, Erciyes University, Kayseri, Turkey
autor
  • Department of Anatomy, Medical Faculty, Erciyes University, Kayseri, Turkey
autor
  • Department of Biophysics, Medical Faculty, Adnan Menderes University, Aydin, Turkey

Bibliografia

  • 1. Aydin S, Hanimoglu H, Tanriverdi T, Yentur E, Kaynar MY (2005) Chiari type I malformations in adults: a morphometric analysis of the posterior cranial fossa. Surg Neurol, 64: 237–241.
  • 2. Bagci AM, Lee SH, Nagornaya N, Green BA, Alperin N (2013) Automated posterior cranial fossa volumetry by MRI: applications to Chiari malformation type I. Am J Neuroradiol, 34: 1758–1763.
  • 3. Dagtekin A, Avci E, Kara E, Uzmansel D, Dagtekin O, Koseoglu A, Talas D, Bagdatoglu C (2011) Posterior cranial fossa morphometry in symptomatic adult Chiari I malformation patients: comparative clinical and anatomical study. Clin Neurol Neurosurg, 113: 399–403.
  • 4. Furtado SV, Reddy K, Hegde AS (2009) Posterior fossa morphometry in symptomatic pediatric and adult Chiari I malformation. J Clin Neurosci, 16: 1449–1454.
  • 5. Milhorat TH, Nishikawa M, Kula RW, Dlugacz YD (2010) Mechanisms of cerebellar tonsil herniation in patients with Chiari malformations as guide to clinical management. Acta Neurochir (Wien), 152: 1117–1127.
  • 6. Muthukumar N, Swaminathan R, Venkatesh G, Bhanumathy SP (2005) A morphometric analysis of the foramen magnum region as it relates to the transcondylar approach. Acta Neurochir (Wien), 147: 889–895.
  • 7. Nishikawa M, Sakamoto H, Hakuba A, Nakanishi N, Inoue Y (1997) Pathogenesis of Chiari malformation: a morphometric study of the posterior cranial fossa. J Neurosurg, 86: 40–47.
  • 8. Noudel R, Jovenin N, Eap C, Scherpereel B, Pierot L, Rousseaux P (2009) Incidence of basioccipital hypoplasia in Chiari malformation type I: comparative morphometric study of the posterior cranial fossa. Clinical article. J Neurosurg, 111: 1046–1052.
  • 9. Trigylidas T, Baronia B, Vassilyadi M, Ventureyra EC (2008) Posterior fossa dimension and volume estimates in pediatric patients with Chiari I malformations. Childs Nerv Syst, 24: 329–236.
  • 10. Uysal S, Gokharman D, Kacar M, Tuncbilek I, Kosa U (2005) Estimation of sex by 3D CT measurements of the foramen magnum. J Forensic Sci, 50: 1310–1314.
  • 11. Vurdem ÜE, Acer N, Ertekin T, Savranlar A, Inci MF (2012) Analysis of the volumes of the posterior cranial fossa, cerebellum, and herniated tonsils using the stereological methods in patients with Chiari type I malformation. ScientificWorld J, 2012: 616934.
  • 12. Zaidi SH, Dayal SS (1988) Variations in the shape of foramen magnum in Indian skulls. Anat Anz, 167: 338–340.

Typ dokumentu

Bibliografia

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