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Journals / Turkish Neurosurgery / 2019 / Cilt: 29 - Sayı: 2

Comparison of Dural Splitting and Duraplasty in Patients with Chiari Type I Malformation: Relationship between Tonsillo-Dural Distance and Syrinx Cavity

Şükrü ORAL
Atilla YILMAZ
Ahmet KÜÇÜK
Abdülfettah TÜMTÜRK
Ahmet MENKÜ
Pages
229–236
DOI
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⚡ TL;DR(Too Long; Didn't Read)

There was no relation between the TDD and the ratio of syrinx regression.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: To compare the clinical and radiological results of dural splitting and duraplasty in patients with Chiari Type I Malformation.MATERIAL and METHODS: This study includes 113 adult patients with Chiari Type I malformation treated between 2009 and2013.
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Key Findings & Data:The patients were divided into two groups according to the surgical method (Group 1: dural splitting, Group 2: duraplasty).Neurological examinations and magnetic resonance imaging (MRI) scans were recorded periodically on 3rd, 6th,and 12th monthsat the postoperative period.
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Conclusion & Impact:There was no relation between the TDD and the ratio of syrinx regression.
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Özet

AIM: To compare the clinical and radiological results of dural splitting and duraplasty in patients with Chiari Type I Malformation.MATERIAL and METHODS: This study includes 113 adult patients with Chiari Type I malformation treated between 2009 and2013. The patients were divided into two groups according to the surgical method (Group 1: dural splitting, Group 2: duraplasty).Neurological examinations and magnetic resonance imaging (MRI) scans were recorded periodically on 3rd, 6th,and 12th monthsat the postoperative period. The tonsillo-dural distance (TDD) and regression rate of the syrinx cavity were measured on T1 and T2weighted sagittal MRI scans at the postoperative period.RESULTS: The ratio of syrinx regression was %49.6 in the Group 1 and %54.6 in the Group 2. This result was statistically significant.The TDD increased in Group 2 and this result was statistically significant (p<0.05). Postoperative pain and numbness decreased inboth groups and no statistically significant difference was detected.CONCLUSION: There was no relationship between tonsillar herniation length and the width of syringomyelic cavity. The syrinxcavity more regressed in the group 2 than group 1. There was no relation between the TDD and the ratio of syrinx regression.

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Cite This Article

ORAL, Ş., YILMAZ, A., KÜÇÜK, A., TÜMTÜRK, A., MENKÜ, A. (2019). Comparison of Dural Splitting and Duraplasty in Patients with Chiari Type I Malformation: Relationship between Tonsillo-Dural Distance and Syrinx Cavity. Turkish Neurosurgery, Cilt: 29 - Sayı: 2, 229–236. https://ajindex.com/articles/404433

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References (5)

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