Possible predictive clinical and radiological markers in decision making for surgical intervention in patients with Chiari Malformation type 1

Autor:	Ulaş Yuksel, Veysel Burulday, Suleyman Akkaya, Selcuk Baser, Mustafa Ogden, Aslihan Alhan, Bulent Bakar
Rok vydání:	2022
Předmět:	Radiography Neurology Decision Making Humans Neurology (clinical) General Medicine Decompression Surgical Magnetic Resonance Imaging Encephalocele Arnold-Chiari Malformation Retrospective Studies
Zdroj:	Neurological Research. 44:975-988
ISSN:	1743-1328 0161-6412
Popis:	The first aim of this study was to compare the clinical data and posterior fossa morphometry obtained during the admission to the hospital between control group individuals (who had not Chiari Malformation (CM) type 1) and CM type 1 patients treated surgically or not. The second aim was to create a valid and reliable scale that can predict the decision-making for surgical intervention simply and easily in these patients.Medical data and radiological images of 70 CM type 1 patients during their admission to the hospital were compared with the data of 69 control group individuals.Conservative treatment and/or follow-up was applied to 58 (82.9%) patients, and 12 (17.1%) patients underwent surgery.It was found that symptoms severity and McRae line value could be used as predictive markers in decision-making for surgical intervention. Additionally, it was concluded that a new scale called CHIASURG could predict surgical intervention risk validly and reliably.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a7232a35e720e84b1b96a945f2de94ce https://doi.org/10.1080/01616412.2022.2089402 Zobrazit plný text záznamu