Conservative management for pediatric patients with chiari 1 anomaly: A retrospective study.

Autor: Marianayagam NJ; Department of Neurosurgery, Shaare Zedek Medical Center, Jerusalem, Israel. Electronic address: neelanm@gmail.com., Shalom NB; Department of Neurosurgery, Rabin Medical Center, Petah Tiqva, Israel., Zarchi O; Neurophysiology Unit, Rabin Medical Center, Petah Tiqva, Israel., Michowiz S; Department of Neurosurgery, Hadassah University Hospital, Jerusalem, Israel., Margalit N; Department of Neurosurgery, Shaare Zedek Medical Center, Jerusalem, Israel., Rajz G; Department of Neurosurgery, Shaare Zedek Medical Center, Jerusalem, Israel.
Jazyk: angličtina
Zdroj: Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2020 Feb; Vol. 189, pp. 105615. Date of Electronic Publication: 2019 Nov 23.
DOI: 10.1016/j.clineuro.2019.105615
Abstrakt: Objective: To better understand the natural history of non-surgical management of chiari 1 anomaly.
Patients and Methods: After obtaining approval of the institutional review board, medical records and radiological exams of patients treated for CM1 at our institution between the years 2010 and 2016 were reviewed. Twenty-nine patients total were included in our study.
Results: The average age of our patient population was 8.5 years old at the time of diagnosis. The average tonsillar herniation on first MRI was 9.4 mm (+/- 4.6) and the average tonsillar herniation on second MRI was 10.4 mm (+/- 4.8). The average follow up time of our sample of patients was 26 months. Of the 29 patients in our study 9 (31 %) had symptomatic presentation. Interestingly, four of our patients (13.8 %) presented with epilepsy.
Conclusions: Our findings support the previous work that nonoperative management is best in asymptomatic or mildly symptomatic chiari patients.
(Copyright © 2019 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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