The chiari ii malformation

A surgical series

Charles Teo, Erik C. Parker, Sharon Aurel, Frederick Boop

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Thirty patients between the ages of 7 months and 24 years were treated surgically for symptomatic Chiari II malformation at the Arkansas Children’ Hospital. All patients underwent at least bony decompression of the malformation. Assessments of the patients’ conditions were made at 6 weeks and 1 year after surgery, and complications of surgery were noted. For a majority of the patients, the presenting symptoms were resolved following treatment (74% at 6 weeks and 80% at 1 year). Partial resolution occurred in several of the patients (17% at 6 weeks and 14% at 1 year). A small number remained the same at 6 weeks (6%) and at 1 year (3%), while 1 patient was worse after surgery. Ten of the patients with complete resolution in the short term required repeat surgery an average of 49 months after their original operation, after which they again attained complete resolution of their symptoms. Scales for clinical, radiographic and operative grading of the patients’ conditions as mild, moderate or severe were devised, and these were employed to characterize the condition of each patient. Patients in each grading category had good results, with rates of complete symptomatic resolution ranging from 67 to 100%. Severity in each category was found to be well correlated with eventual recurrence of symptoms and need for reoperation.

Original languageEnglish (US)
Pages (from-to)223-229
Number of pages7
JournalPediatric Neurosurgery
Volume27
Issue number5
DOIs
StatePublished - Jan 1 1997
Externally publishedYes

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Reoperation
Decompression
Recurrence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

Cite this

The chiari ii malformation : A surgical series. / Teo, Charles; Parker, Erik C.; Aurel, Sharon; Boop, Frederick.

In: Pediatric Neurosurgery, Vol. 27, No. 5, 01.01.1997, p. 223-229.

Research output: Contribution to journalArticle

Teo, Charles ; Parker, Erik C. ; Aurel, Sharon ; Boop, Frederick. / The chiari ii malformation : A surgical series. In: Pediatric Neurosurgery. 1997 ; Vol. 27, No. 5. pp. 223-229.
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