Simultaneous two-stage surgical treatment for Chiari malformation association with occlusive hydrocephalus: a clinical case
| Autor: | D. D. Kositov, Kh. J. Rahmonov, R. N. Berdiev, Sh. A. Turdiboev, M. V. Davlatov, U. Kh. Rahmonov |
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| Jazyk: | ruština |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Сеченовский вестник, Vol 14, Iss 1, Pp 50-56 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2218-7332 2658-3348 |
| DOI: | 10.47093/2218-7332.2023.14.1.50-56 |
| Popis: | Treatment of patients with the simultaneous presence of Chiari malformation type I (MC I) and hydrocephalus may include both one-stage and two-stage surgical interventions. The article describes the two-stage surgical treatment experience performed for the first time in the Republic of Tajikistan. Description of the case. A 50-year-old female patient with a three-year history of bursting headache, dizziness, nausea, and vomiting developed impaired coordination of movements and decreased visual acuity. Computed tomography (CT) revealedsigns of MC I: descent of the cerebellar tonsils 5 mm below the level of the foramen magnum and occlusive triventricular hydrocephalus with symmetrical enlargement of the lateral and third ventricles. The patient underwent surgery – endoscopic third ventriculocisternostomy (ETV) in combination with decompressive suboccipital craniectomy, which was supplemented by CI laminectomy. After the surgery, the symptoms regressed. According to the control CT scan, there was a moderate decrease in the size of the lateral and third ventricles, restoration of the normal anatomical structure of the posterior cranial fossa. |
| Databáze: | Directory of Open Access Journals |
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