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Article: Immediate postoperative resolution of syrinx post-C1/C2 fixation in an operated case of foramen magnum decompression for Chiari malformation: Is Goel's procedure a rescue surgery or a gold standard?

Chugh, Ashish / Punia, Prashant / Gotecha, Sarang / Gaud, Jayant Arun / Reddy, Rajeev / Aziz, Ramis Abdul

Journal of craniovertebral junction & spine

2024  Volume 15, Issue 1, Page(s) 105–109

Abstract: Chiari malformation (CM) is a common neurological disorder with foramen magnum decompression (FMD) as a commonly accepted treatment. The authors present a case of CM-1 wherein there was no radiological instability preoperatively and FMD was done as a ... ...

Abstract Chiari malformation (CM) is a common neurological disorder with foramen magnum decompression (FMD) as a commonly accepted treatment. The authors present a case of CM-1 wherein there was no radiological instability preoperatively and FMD was done as a treatment, after which the patient improved transiently only to deteriorate further. Atlantoaxial fixation was done as a second-stage procedure, after which the patient improved clinically and radiologically. The knowledge of this case and surgical entity should be borne in mind before the formulation of a treatment plan. It is important that the solution is to identify and treat the underlying pathology rather than to decompress and directly manipulate the tonsils.
Language English
Publishing date 2024-03-13
Publishing country India
Document type Case Reports
ZDB-ID 2573344-8
ISSN 0976-9285 ; 0974-8237
ISSN (online) 0976-9285
ISSN 0974-8237
DOI 10.4103/jcvjs.jcvjs_182_23
Database MEDical Literature Analysis and Retrieval System OnLINE

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