Pediatric Extradural Chiari Decompressionについて
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Pediatric Extradural Chiari Decompression

Pediatric Extradural Chiari Decompressionについて

This video summarizes a dural splitting craniocervical decompression procedure for Chiari I without syringomyelia. The goal of surgery for Chiari 1 malformation is to restore normal cerebral spinal fluid dynamics at the craniocervical junction. Traditionally, shrinkage or even resection of the cerebellar tonsils has been advocated. More recently, simple duraplasty without manipulation of the intradural contents or even extradural decompression have been undertaken. A dural splitting decompression procedure in a 17-year-old male who presented with medically refractory, unremitting and progressive suboccipital headaches is described. This video has been taken from Dura Splitting Decompression for Chiari I Malformation in Pediatric Patients: Clinical Outcomes, Healthcare Costs and Resource Utilization, an article that can be read here . It was submitted by corresponding author Nathan R Selden, MD, PhD, from the Department of Neurological Surgery at Oregon Health & Science University in Portland, Oregon.

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