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J Korean Neurosurg Soc.  2015 Apr;57(4):311-313. 10.3340/jkns.2015.57.4.311.

Treatment of Syringomyelia due to Chiari Type I Malformation with Syringo-Subarachnoid-Peritoneal Shunt

Affiliations
  • 1Department of Neurosurgery, Bahcesehir University Medical School, Istanbul, Turkey.
  • 2Department of Orthopedics-Spine Center, University of California at San Francisco, CA, USA. muratsakireksi@gmail.com

Abstract

Chiari type I malformation is a tonsillar herniation more than 3 mm from the level of foramen magnum, with or without concurrent syringomyelia. Different surgical treatments have been developed for syringomyelia secondary to Chiari's malformations: craniovertebral decompression with or without plugging of the obex, syringo-subarachnoid, syringo-peritoneal, and theco-peritoneal shunt placement. Shunt placement procedures are useful for neurologically symptomatic large-sized syrinx. In this paper, authors define the first successful treatment of a patient with syringomyelia due to Chiari type I malformation using a pre-defined new technique of syringo-subarachnoid-peritoneal shunt with T-tube system.

Keyword

Syringomyelia; Chiari malformation; Shunt; Decompression; Craniovertebral junction

MeSH Terms

Decompression
Encephalocele
Foramen Magnum
Humans
Syringomyelia*
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