Postoperative dynamics of syringomyelia associated with Chiari Type 1 malformation and its predictors.

Abstract


The main treatment for syringomyelia associated with Chiari Type 1 malformation is surgery – decompression of posterior cranial fossa, in order to eliminate the cerebrospinal fluid flow block at the craniovertebral transition level.  However, successful surgical treatment does not always lead to regression of syringomyelia symptoms.  The literature presents controversial data about factors affecting the postoperative outcome. We examined 44 patients, who underwent decompression of the posterior cranial fossa, in order to assess the postoperative dynamics of syringomyelia associated with Chiari Type 1 malformation and to identify predictive factors.  Analysis of clinical and neurovisual parameters before surgery and at the distant postoperative stage (2 years or more after treatment) made it possible to determine the frequency of the dynamics of spinal symptoms and symptoms of the large occipital foramen and identify the main factors affecting the postoperative outcome.


About the authors

Chulpan Salimovna Nurullina

Kazan State Medical University

Email: chulpan_nurullina@mail.ru
ORCID iD: 0000-0003-2873-0585
SPIN-code: 9242-0293

Russian Federation, 420012, 49 Butlerov St., Kazan.

Postgraduate of department of neurology and rehabilitation

Elena Gennadyevna Mendelevich

Kazan State Medical University

Author for correspondence.
Email: emendel@mail.ru
ORCID iD: 0000-0002-6829-7942

Russian Federation, 420012, 49 Butlerov St., Kazan.

D.Sc. (medicine), professor of the department of Neurology and Rehabilitation Kazan State Medical University

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