Title :

Surgery for chiari 1 malformation: the lille experience

Author(s) :

Vinchon, Matthieu [Auteur]
Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Maladies RAres du DÉveloppement embryonnaire et du Métabolisme : du phénotype au génotype et à la Fonction (RADEME) - ULR 7364

Journal title :

Child's nervous system . ChNS . official journal of the International Society for Pediatric Neurosurgery

Abbreviated title :

Childs Nerv Syst

Publication date :

2019-06-11

ISSN :

1433-0350

Keyword(s) :

Chiari malformation
Child
Outcome

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Decision-making in chronic tonsillar herniation (CTH) in children is complicated because many cases are diagnosed incidentally; on the other hand, its clinical impact may be underestimated. Furthermore, its surgical ...
Show more >Decision-making in chronic tonsillar herniation (CTH) in children is complicated because many cases are diagnosed incidentally; on the other hand, its clinical impact may be underestimated. Furthermore, its surgical management is controversial. In the present review, we tried to design a semi-quantitative approach to diagnosis, defining presenting symptoms as compatible, suggestive, or differential diagnoses. We expose our rationale for surgery. We review our experience with extensive posterior fossa decompression (PFD) with systematic dural opening and low threshold for tonsil resection. The aim is to achieve uncontroversial anatomical decompression. We operated 117 children during the last 10 years. Seventeen had complications, mostly hydraulic and minor; although most resolved without consequences, one patient died of unexplained cerebral vasospasm. At last control, 97% were clinically improved. No patient required reoperation for PFD. With proper patient selection, extensive PFD is a very efficient operation.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille

Collections :

• Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364

Submission date :

2021-09-02T07:01:26Z