Full-Endoscopic Technique for Posterior Fossa Decompression in Chiari Malformation.

Autor:	Dolas I; Department of Neurosurgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey., Unal TC; Department of Neurosurgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey., Yorukoglu AG; Department of Neurosurgery, Istanbul Scoliosis and Spine Center, Florence Nightingale Hospital, Istanbul, Turkey., Ruetten S; Center for Spine Surgery and Pain Therapy, Center for Orthopedics and Traumatology of the St. Elisabeth Group-Catholic Hospitals Rhein-Ruhr, St. Anna Hospital Herne/Marien Hospital Herne University Hospital/Marien Hospital Witten, Herne, Germany., Dolen D; Department of Neurosurgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey., Gulsever CI; Department of Neurosurgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey., Sahin D; Department of Neurosurgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey., Aydoseli A; Department of Neurosurgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey., Sencer A; Department of Neurosurgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Jazyk:	angličtina
Zdroj:	Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2023 Dec 01; Vol. 25 (6), pp. e345-e351. Date of Electronic Publication: 2023 Oct 09.
DOI:	10.1227/ons.0000000000000875
Abstrakt:	Background and Importance: Full-endoscopic techniques are well-described for spinal procedures. Although endoscopic-assisted techniques are reported for posterior fossa decompression (PFD) in Chiari malformation (CM), a full-endoscopic technique is yet to be reported in these patients. The aim of this study was to present and describe a full-endoscopic technique for PFD in patients with CM. Clinical Presentation: Two patients diagnosed with CM were operated on by the full-endoscopic PFD technique. The patients consented to the procedure and to the publication of their image. An endoscope with an oval shaft cross-section with a diameter of 9.3 mm, a working length of 177 mm, a viewing angle of 20°, and a working channel of 5.6 diameters were used. Operative videos were recorded. The surgical steps were easily applied after the clear anatomic landmarks, such as the C1 posterior tubercle and the rectus capitis posterior minor muscles. The patients were followed up for 6 months. Both patients were symptom-free with a significant decrease in Visual Analog Scale score and a good functional outcome assessed by Chicago Chiari Outcome Scale after surgery without any complications. Conclusion: All the steps of the full-endoscopic technique for PFD described by the authors in their previous human cadaveric study were also feasible on patients with CM. (Copyright © Congress of Neurological Surgeons 2023. All rights reserved.)
Databáze:	MEDLINE
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