Repair of Chiari III malformation using cranioplasty and an occipital rotation flap: technical note and review of literature

被引：5

作者：

Furtado, Sunil V. ^{[1
]}

Anantharam, Bangalore A. ^{[3
]}

Reddy, Kalyan ^{[2
]}

Hegde, Alangar S. ^{[1
]}

机构：

[1] Sri Satya Sai Inst Higher Med Sci, Dept Neurosurg, Bangalore 560066, Karnataka, India

[2] Sri Satya Sai Inst Higher Med Sci, Dept Radiol, Bangalore 560066, Karnataka, India

[3] Sri Satya Sai Gen Hosp, Dept Plast Surg, Bangalore 560066, Karnataka, India

来源：

SURGICAL NEUROLOGY | 2009年 / 72卷 / 04期

关键词：

Chiari III malformation; Encephalocele; Cranioplasty; Craniovertebral junction; Rotation flap; MRI; DIAGNOSIS; CLOSURE;

D O I：

10.1016/j.surneu.2008.09.008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Chiari III malformation (CM3) is rare among Chiari malformations (I-TV). Its definition has been expanded to include caudal medullary displacement and hindbrain herniation into encephaloceles in lower occipital and high cervical regions. Prognosis is recorded as dismal, with respect to survival and functional outcome. Methods: We describe the presentation, radiologic evaluation, and repair of this malformation using methyl-methacrylate cranioplasty and an occipital scalp rotation flap for closure. Outcome after surgery is addressed. Results: Adequate closure of the defect and protection of underlying structures was achieved without undue stress at incision site. Conclusions: This method of closure can be considered in cases of large occipital and cervical encephaloceles with poor skin cover and added osseous anomalies around the foramen magnum. (C) 2009 Elsevier. Inc. All rights reserved.

引用

页码：414 / 417

页数：4

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