Basilar invagination associated with chiari malformation type I: A literature review

被引:12
作者
Pearce de Oliveira Brito, Jose Nazareno [1 ,2 ,3 ]
dos Santos, Bruna Afonso [2 ,3 ]
Nascimento, Isys Fialho [2 ,3 ]
Martins, Leonardo Augusto [3 ]
Tavares, Cleciton Braga [3 ]
机构
[1] Univ Estadual Piaui, Fac Ciencias Med FACIME, Dept Neurol & Neurocirurgia, Teresina, PI, Brazil
[2] Ctr Univ UNINOVAFAPI, Teresina, PI, Brazil
[3] Hosp Sao Marcos, Teresina, PI, Brazil
关键词
Craniovertebral Junction; Basilar Invagination; Chiari Malformation; Surgical Decompression; ATLANTOAXIAL INSTABILITY; OCCIPITAL CONDYLE; ODONTOID PROCESS; DECOMPRESSION; IMPRESSION; DISLOCATION; HERNIATION; FIXATION;
D O I
10.6061/clinics/2019/e653
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Basilar invagination (BI) and Chiari malformation type I (CM-I) are very important anomalies that introduce instability and compression in the occipitocervical transition region and have complex clinical characteristics. These anomalies vary according to the affected structures. The present study revises current knowledge regarding the anatomy, anatomo-physiology, clinical manifestations, and radiological findings of these entities and the associated surgical treatment approaches. A bibliographic survey was performed through a search in the Medline, PubMed, SciELO, Science and LILACS databases. When associated, these craniovertebral malformations result in neurological deficits due to neural parenchyma compression; however, the presence of microtraumas due to repetitive lesions caused by the bulb and cervical marrow instability has been highlighted as a determinant dysfunction. Surgical treatment is controversial and has many technical variations. Surgery is also challenging due to the complex anatomical characteristics and biomechanics of this region. Nevertheless, advances have been achieved in our understanding of related mechanisms, and compression and atlantoaxial instability are considered key elements when selecting the surgical approach.
引用
收藏
页数:6
相关论文
共 62 条
[1]  
Ackermann JF, 1790, UEBER KRETINEN EINEB
[2]   Stereological and Morphometric Analysis of MRI Chiari Malformation Type-1 [J].
Alkoc, Ozan Alper ;
Songur, Ahmet ;
Eser, Olcay ;
Toktas, Muhsin ;
Gonul, Yucel ;
Esi, Ertap ;
Haktanir, Alpay .
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 2015, 58 (05) :454-461
[3]  
Anderson N E, 1986, Clin Exp Neurol, V22, P71
[4]   Malformations of the craniocervical junction (chiari type I and syringomyelia: classification, diagnosis and treatment) [J].
Avellaneda Fernandez, Alfredo ;
Isla Guerrero, Alberto ;
Izquierdo Martinez, Maravillas ;
Amado Vazquez, Maria Eugenia ;
Barron Fernandez, Javier ;
Chesa i Octavio, Ester ;
De la Cruz Labrado, Javier ;
Escribano Silva, Mercedes ;
de Gamboa Fernandez de Araoz, Marta Fernandez ;
Garcia-Ramos, Rocio ;
Garcia Ribes, Miguel ;
Gomez, Carmen ;
Insausti Valdivia, Joaquin ;
Navarro Valbuena, Ramon ;
Ramon, Jose R. .
BMC MUSCULOSKELETAL DISORDERS, 2009, 10
[5]  
Barros MC, 1959, THESIS
[6]   The effects of posterior fossa decompressive surgery in adult patients with Chiari malformation and sleep apnea Clinical article [J].
Botelho, Ricardo Vieira ;
Azeredo Bittencourt, Lia Rita ;
Rotta, Jose Marcus ;
Tufik, Sergio .
JOURNAL OF NEUROSURGERY, 2010, 112 (04) :800-807
[7]  
Brito JN, 1987, DIS CRANIO CERVICAL, P279
[8]  
Cacciola F, 2004, NEUROL INDIA, V52, P178
[9]   Chiari complex in children - Neuroradiological diagnosis, neurosurgical treatment and proposal of a new classification (312 cases) [J].
Cama, A ;
TortoriDonati, P ;
Piatelli, GL ;
Fondelli, MP ;
Andreussi, L .
EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 1995, 5 :35-38
[10]  
CANELAS H M, 1956, Arq Neuropsiquiatr, V14, P1