Results of the treatment of syringomyelia associated with Chiari malformation: analysis of 60 cases
We analyze the results of surgical treatment of 60 patients presenting syringomyelia (SM) associated with Chiari malformation (CM) who were operated in the period 1982-2000. For each case, analysis covered 15 signs and 16 symptoms included in a protocol that separated SM signs and symptoms from thos...
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| Language: | English |
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Thieme Revinter Publicações
2004-06-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000200009&tlng=en |
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| author | José Arnaldo Motta de Arruda Carlos Maurício de Castro Costa Oswaldo Inácio de Tella Jr |
| author_facet | José Arnaldo Motta de Arruda Carlos Maurício de Castro Costa Oswaldo Inácio de Tella Jr |
| author_sort | José Arnaldo Motta de Arruda |
| collection | DOAJ |
| description | We analyze the results of surgical treatment of 60 patients presenting syringomyelia (SM) associated with Chiari malformation (CM) who were operated in the period 1982-2000. For each case, analysis covered 15 signs and 16 symptoms included in a protocol that separated SM signs and symptoms from those of CM. A score system was established in parallel with the protocol to make the evaluation of treatment results easier. All cases were submitted to craniovertebral decompression by C1 and eventually C2 laminectomy and cerebellar tonsillectomy with duramater graft. To evaluate the results, statistical proportion difference tests and variance analyses were made to a reliability index of 95% (p=0.05). We conclude that the statistical improvement of CM signs and symptoms was very significant (p=0). Syringomyelia signs and symptoms also improved significantly, except for "upper limb hyporeflexia" , which did not improve. No statistical difference in the improvement of SM symptoms as compared to CM symptom was found. Syringomyelia signs improved statistically more than CM signs. In half of patients, the percent improvement of signs and symptoms ranged between 40% and 60%. |
| format | Article |
| id | doaj-art-5e73542995a04cc0b71e9304f459eb01 |
| institution | DOAJ |
| issn | 1678-4227 |
| language | English |
| publishDate | 2004-06-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-5e73542995a04cc0b71e9304f459eb012025-08-20T03:19:28ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272004-06-01622a23724410.1590/S0004-282X2004000200009Results of the treatment of syringomyelia associated with Chiari malformation: analysis of 60 casesJosé Arnaldo Motta de Arruda0Carlos Maurício de Castro Costa1Oswaldo Inácio de Tella Jr2Universidade Federal do CearáUniversidade Federal do CearáUniversidade Federal de São PauloWe analyze the results of surgical treatment of 60 patients presenting syringomyelia (SM) associated with Chiari malformation (CM) who were operated in the period 1982-2000. For each case, analysis covered 15 signs and 16 symptoms included in a protocol that separated SM signs and symptoms from those of CM. A score system was established in parallel with the protocol to make the evaluation of treatment results easier. All cases were submitted to craniovertebral decompression by C1 and eventually C2 laminectomy and cerebellar tonsillectomy with duramater graft. To evaluate the results, statistical proportion difference tests and variance analyses were made to a reliability index of 95% (p=0.05). We conclude that the statistical improvement of CM signs and symptoms was very significant (p=0). Syringomyelia signs and symptoms also improved significantly, except for "upper limb hyporeflexia" , which did not improve. No statistical difference in the improvement of SM symptoms as compared to CM symptom was found. Syringomyelia signs improved statistically more than CM signs. In half of patients, the percent improvement of signs and symptoms ranged between 40% and 60%.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000200009&tlng=ensyringomyeliaChiari malformationsurgical treatment |
| spellingShingle | José Arnaldo Motta de Arruda Carlos Maurício de Castro Costa Oswaldo Inácio de Tella Jr Results of the treatment of syringomyelia associated with Chiari malformation: analysis of 60 cases Arquivos de Neuro-Psiquiatria syringomyelia Chiari malformation surgical treatment |
| title | Results of the treatment of syringomyelia associated with Chiari malformation: analysis of 60 cases |
| title_full | Results of the treatment of syringomyelia associated with Chiari malformation: analysis of 60 cases |
| title_fullStr | Results of the treatment of syringomyelia associated with Chiari malformation: analysis of 60 cases |
| title_full_unstemmed | Results of the treatment of syringomyelia associated with Chiari malformation: analysis of 60 cases |
| title_short | Results of the treatment of syringomyelia associated with Chiari malformation: analysis of 60 cases |
| title_sort | results of the treatment of syringomyelia associated with chiari malformation analysis of 60 cases |
| topic | syringomyelia Chiari malformation surgical treatment |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000200009&tlng=en |
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