Comparison of the Surgical Results for Foramen Magnum Decompression with and without Duraplasty in Chiari Malformation Type 1

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dc.authorid0000-0001-5590-0637
dc.authorscopusid55372092900
dc.authorscopusid54894908600
dc.authorscopusid56674439000
dc.authorscopusid57203594039
dc.authorscopusid7006006212
dc.authorwosidKARAARSLAN, Numan/I-6819-2019
dc.contributor.authorGürbüz, Mehmet Sabri
dc.contributor.authorKaraarslan, Numan
dc.contributor.authorÇalışkan, Tezcan
dc.contributor.authorÜnal, Emre
dc.contributor.authorBerkman, Mehmet Zafer
dc.date.accessioned2022-05-11T14:34:46Z
dc.date.available2022-05-11T14:34:46Z
dc.date.issued2015
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.description.abstractAIM: The surgical results for foramen magnum decompression (FMD) with and without duraplasty in Chiari Malformation type 1 (CM-1) were compared retrospectively. MATERIAL and METHODS: Thirty-nine cases of CM-1 with and without syringomyelia (SM) were included.There were 18 patients in the non-duraplasty and 21 in the duraplasty group. Syringomyelia, tonsillar herniation (TH), preoperative symptom duration, and postoperative SM size were compared. RESULTS: No significant difference was found between improvement in the duraplasty group (81%) and the non-duraplasty group (61.1%). In cases whose symptom duration was 0-36 months, improvement in the duraplasty group (93%) was significantly better than in the non-duraplasty group (50%) (p<0.01). The rate of syrinx regression was 92.3% in the duraplasty group and 12.5% in the non-duraplasty group (p<0.05). In cases with SM, the improvement was 21.4% in the non-duraplasty group compared to 78.6% in the duraplasty group (p=0.056). In cases with TH greater than 10 mm, the improvement was 66.7% in the non-duraplasty group, whereas all six cases (100%) in the duraplasty group had improved. CONCLUSION: In SM associated cases, cases with TH greater than 10 mm, and whose symptom duration is less than 36 months, duraplasty is a more reliable choice despite a slightly higher rate of complications.
dc.identifier.doi10.5137/1019-5149.JTN.11235-14.1
dc.identifier.endpage424
dc.identifier.issn1019-5149
dc.identifier.issue3en_US
dc.identifier.pmid26037182
dc.identifier.scopus2-s2.0-84930709770
dc.identifier.scopusqualityQ3
dc.identifier.startpage419
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.11235-14.1
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8085
dc.identifier.volume25
dc.identifier.wosWOS:000357065100010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKaraarslan, Numan
dc.language.isoen
dc.publisherTurkish Neurosurgical Soc
dc.relation.ispartofTurkish Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectChiari malformation type 1
dc.subjectSyringomyelia
dc.subjectDuraplasty
dc.subjectSurgical results
dc.subjectPosterior-Fossa Decompression
dc.subjectI-Malformation
dc.subjectCraniocervical Decompression
dc.subjectSyringomyelia
dc.subjectManagement
dc.subjectTonsillectomy
dc.subjectComplications
dc.subjectHerniation
dc.subjectChildren
dc.subjectAdults
dc.titleComparison of the Surgical Results for Foramen Magnum Decompression with and without Duraplasty in Chiari Malformation Type 1
dc.typeArticle

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