Investigation of The Improvement Rate Regarding The Herniation of Cerebellar Tonsils Following Shunting Procedures in Patients with Chiari Malformation and Associated Hydrocephalus

Mehmet Onur YUKSEL; Salim KATAR

doi:https://doi.org/10.30621/jbachs.2020.1078

Makale detayları

Investigation of The Improvement Rate Regarding The Herniation of Cerebellar Tonsils Following Shunting Procedures in Patients with Chiari Malformation and Associated Hydrocephalus

Yazarlar:

Mehmet Onur YUKSEL | Salim KATAR

Yayıncı:

Dokuz Eylul University

Dergi:

Journal of Basic and Clinical Health Sciences 2020 Vol.4 Issue 3, pp.276-279

Belge Tipi:

Makale

Yayın Tarihi:

8/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000493426

Sıklık:

Üç Yıllık

eISSN:

2564-7288

DOI:

https://doi.org/10.30621/jbachs.2020.1078

Özet:

 

Introduction and Aim: Chiari malformation is a congenital anomaly formed as the result of the herniation of posterior fossa structures through  the foramen magnum toward the spinal canal. In this study, we aimed to present the improvement rate regarding the herniation in cerebellar  tonsils following shunting procedures in patients with Chiari malformation and associated hydrocephalus.  Method: We measured in mm the improvement rate regarding the herniation in cerebellar tonsils in postoperative cervical MRI images  obtained following ventriculoperitoneal shunting procedures for hydrocephalus in adult patients with symptoms of Chiari malformation such  as balance disorder, dizziness, numbness and loss of muscular strength at the hands who were diagnosed with Chiari malformation and  hydrocephalus following cranial and cervical magnetic resonance imaging  MRI .  Results: A total of fifteen adult patients in whom the cerebellar tonsillar herniation was over 5 mm and accompanied by hydrocephalus  were included in our study. The measure of herniation in the patients involved in the study was between 1.11 cm and 8 mm. The amount of  improvement in herniation following the shunting procedure was between 7.76 mm and 2.2 mm.  Conclusion: In patients with Chiari malformation associated with hydrocephalus, cerebellar tonsillar herniation can regress to 5 mm, which  is considered as physiological, and the symptoms related to Chiari malformation can disappear. When Chiari malformation is associated with  hydrocephalus, the tonsillar herniation may improve, and symptoms may disappear following the ventriculoperitoneal shunting procedure for  hydrocephalus without necessitating posterior decompression for Chiari-related herniation.

Makale detayları

Investigation of The Improvement Rate Regarding The Herniation of Cerebellar Tonsils Following Shunting Procedures in Patients with Chiari Malformation and Associated Hydrocephalus

Yazarlar: Mehmet Onur YUKSEL | Salim KATAR

Yayıncı: Dokuz Eylul University

Dergi: Journal of Basic and Clinical Health Sciences 2020 Vol.4 Issue 3, pp.276-279

Belge Tipi: Makale

Yayın Tarihi: 8/2020

Belge Dili: İngilizce

Document ID (Org No.): 2000493426

Sıklık: Üç Yıllık

eISSN: 2564-7288

DOI: https://doi.org/10.30621/jbachs.2020.1078

Sayı

Yazarlar:

Mehmet Onur YUKSEL | Salim KATAR

Yayıncı:

Dokuz Eylul University

Dergi:

Journal of Basic and Clinical Health Sciences 2020 Vol.4 Issue 3, pp.276-279

Belge Tipi:

Makale

Yayın Tarihi:

8/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000493426

Sıklık:

Üç Yıllık

eISSN:

2564-7288

DOI:

https://doi.org/10.30621/jbachs.2020.1078