Coagulation of herniated cerebellar tonsils for cerebrospinal fluid pathway restoration

Autor: Fred Epstein, Cheryl A. Muszynski, Daniel J. Won, Uma Nambiar
Rok vydání: 1998
Předmět:
Zdroj: Pediatric neurosurgery. 27(5)
ISSN: 1016-2291
Popis: In the past, many different surgical techniques have been proposed for treatment of the Chiari type I malformation. Despite the different technical considerations, in general, the treatment objectives have shared certain features: to prevent/ameliorate tonsillar crowding and to restore normal circulation of cerebrospinal fluid at the foramen magnum. We report a simple technique of coagulation of the herniated cerebellar tonsils in situ to decompress adjacent neural structures and to achieve the above-mentioned goals. When compared to the method of tonsillar resection, the procedure described herein affords the following two advantages: it is relatively less time-consuming and is more hemostatic. These two features minimize inflammation-mediated morbidity which may occur during the postoperative period.
Databáze: OpenAIRE