Symptomatic Subdural Hygroma and Hydrocephalus following Chiari I Decompression

被引：19

作者：

Filis, Andreas K. ^{[1
]}

Moon, Karam ^{[1
]}

Cohen, Alan R. ^{[1
]}

机构：

[1] Case Western Reserve Univ, Sch Med, Rainbow Babies & Childrens Hosp, Div Pediat Neurosurg,Neurol Inst, Cleveland, OH 44106 USA

来源：

PEDIATRIC NEUROSURGERY | 2009年 / 45卷 / 06期

关键词：

Chiari; Subdural hygroma; Hydrocephalus; Arachnoid; Acetazolamide;

D O I：

10.1159/000270159

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: The aim of the present case report is to describe an unusual complication of foramen magnum decompression (FMD) for the Chiari 1 hindbrain malformation and its successful management with non-operative measures. Methods: A 2-year-old girl with the Chiari 1 malformation underwent FMD, including suboccipital craniotomy, C1 laminectomy and durotomy without opening the arachnoid. Results: After initial postoperative improvement, the patient deteriorated, developing subdural hygromas and hydrocephalus. These were treated successfully with observation and acetazolamide. Conclusions: Subdural hygromas may complicate FMD. A slit valve opening in the arachnoid might be part of the pathophysiology. While surgical intervention may be necessary in some circumstances, non-operative measures may be effective as well. Copyright (C) 2009 S. Karger AG, Basel

引用

页码：425 / 428

页数：4

共 9 条

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[2]

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[3]

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