ISSN Print 2500–1094
ISSN Online 2542–1204
Bulletin of RSMU
BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)
ORIGINAL RESEARCH
Using different duraplasty variants in the treatment of patients with Chiari Malformation Type I
About authors
1 Department of Neurology and Neurosurgery, Faculty of Advanced Training and Professional Retraining,
Kazan State Medical University, Kazan, Russia
2 Interregional Clinical Diagnostic Center, Kazan, Russia
Correspondence should be addressed: Ruslan Kakhkharov
ul. Karbysheva, d. 12a, Kazan, Russia, 420097; ur.liam@vorahhak.nalsur
About paper
Acknowledgements: authors thank professor Valery Danilov from Kazan State Medical University for his help in preparing the manuscript.
Received: 2016-06-10
Accepted: 2016-08-01
Published online: 2017-01-05
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Fig. 1. A T1-weighted sagittal MRI scan, from a patient with Chiari malformation, cerebellar tonsillar prolapse
Fig. 2. A T1-weighted sagittal MRI scan. Syringomyelia — disorder often associated with Chiari malformation
Fig. 3. A sagittal CT scan. Pseudomeningocele (marked by arrow) — one of the post-op complications from Chiari malformation surgery
Fig. 4. Reference points of the posterior fossa used in diagnosis of Chiari malformation (Sekula et al., 2005 [21])
d + e — length of clivus; S — sphenooccipital synchondrosis; d — length of basisphenoid between the top of the dorsum sellae and the sphenooccipital synchondrosis of the clivus; e — length of the basiocciput between the synchondrosis and the basion; b — length of the hindbrain between the midbrain- pons junction and the medullocervical junction; a — angle of the cerebellar tentorium to Twining's line; c — length of cerebellar hemispheres; DS — top of the dorsum sellae; IOP — internal occipital protuberance; OP — opisthion; IOP to OP — length of supraocciput; B — basion; TW — Twining's line; McR (B to OP) — McRae's line.
Fig. 5. Incidence of syndromes in Chiari malformationМС — мозжечковый синдром
CS — cerebellar syndrome; HHS — hypertension-hydrocephalic syndrome; SMS — syringomyelic syndrome; RS — radicular syndrome; BS — bulbar syndrome; VIS — vertebrobasilar insufficiency syndrome.
Fig. 6. Duration of neurological syndrome regression under different types of surgery
