SavedAdd your journal

Journals / Haseki Tıp Bülteni / 2021 / Cilt: 59 - Sayı: 1

Factors that Increase the Need for Surgery in Chiari Malformation Type 1 Patients Morphometric Analyses in Chiari Patients

Tip 1 Chiari Malformasyonlu Hastalarda Ameliyat Gereksinimini Artıran Faktörler Chiari Hastalarında Morfometrik Analiz

Enes AKKAYA
Ahmet KAYHAN
Pages
32–36
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We think that it may be beneficial to consider these parameters in patients who are evaluated for surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The causes of the syringomyelia in Chiari are not certainly defined.
📊
Key Findings & Data:We have done morphometric analyses which can be useful to understand natural course and causes which increase the surgery requirement of patients.
💡
Conclusion & Impact:We think that it may be beneficial to consider these parameters in patients who are evaluated for surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The causes of the syringomyelia in Chiari are not certainly defined. We have done morphometric analyses which can be useful to understand natural course and causes which increase the surgery requirement of patients. Methods: Eighty nine patients (operated) and 41 patients (non-operated) were included the study. Investigations were done as randomized. Accompanying syringomyelia, area of foramen magnum, herniated tonsil volume and clivo-dental angle were compared between operated and control groups. Results: Syringomyelia was seen in 50%. The mean values of FMA were 765.2±119.5 mm2. The mean value of critical discourse analysis (CDA) was 139.5±10.6°. Mean of the hydrophobicity (HTV) were found to be 54.5±24.1 mm3. The mean of age was 27±11.1, FMA was 876.5±131.9 mm2, CDA was 141.1±10.2°and HTV was 57.6±20.7 mm3 in the patients with syringomyelia. The mean of age was 33.9±12, FMA was 704.3±99.6 mm2, CDA was 137,8±10,8° and HTV was 51,4±26,8 mm3 in the patients who had not syringomyelia.Conclusion: Younger age, larger FMA and CDA increase the HTV and the rate of accompanying syringomyelia. As a result, the need for surgery increases. We think that it may be beneficial to consider these parameters in patients who are evaluated for surgery.

Özet

Amaç: Hastalığın doğal seyri halen tam anlaşılamamıştır. Siringomiyelinin oluşum sebepleri de belirsizliğini kısmen korumaktadır. Biz bu çalışmada, hastalığın doğal seyrine, operasyon gereksinimine neden olan sebeplere açıklık getirmede fayda sağlayacağını düşündüğümüz morfometrik analizler yaptık.Yöntemler: Seksen dokuz opere ve 41 opere olmayan incelendi. İncelemelerimiz randomize, retrospektif ve radyolojik olarak özel formüller vasıtasıyla yapıldı. Opere olanlarla olmayanlar arasında siringomyeli eşlik etme oranına, foramen magnum alanı (FMA), herniye tonsil hacmi (HTH) ve klivo-dental (KD) açı farklarına bakıldı. Siringomyeliye sebep olan parametrelerin oranı ayrı ayrı incelendi. HTH hesaplamasında sferoid hacim formülü ile hesaplandı. İstatistik analizi için veriler toplandı. Analizler sonrası anlamlılık değeri p

🔖

Cite This Article

AKKAYA, E., KAYHAN, A. (2022). Factors that Increase the Need for Surgery in Chiari Malformation Type 1 Patients Morphometric Analyses in Chiari Patients. Haseki Tıp Bülteni, Cilt: 59 - Sayı: 1, 32–36. https://ajindex.com/articles/534996

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Strahle J, Muraszko KM, Kapurch J, Bapuraj JR, Garton HJ, Maher CO. Natural history of Chiari malformation Type I following decision for conservative treatment. J Neurosurg Pediatr 2011;8214-21. 2.Novegno F, Caldarelli M, Massa A, et al. The natural history of the Chiari Type I anomaly. J Neurosurg Pediatr 2008;2:179-87. 3.Chavez A, Roguski M, Killeen A, Heilman C, Hwang S. Comparison of operative and non-operative outcomes based on surgical selection criteria for patients with Chiari I malformations. J Clin Neurosci 2014;21:2201-6. 4.Killeen A, Roguski M, Chavez A, Heilman C, Hwang S. Non-operative outcomes in Chiari I malformation patients. J Clin Neurosci 2015;22:133-8. 5.Bindal AK, Dunsker SB, Tew JM Jr. Chiari I malformation: classification and management. Neurosurgery 1995;37:1069-74. 6. Morris Z, Whiteley WN, Longstreth WT Jr, et al. Incidental findings on brain magnetic resonance imaging: systematic review and meta-analysis. BMJ 2009;339:3016. 7.Schuster JM, Zhang F, Norvell DC, Hermsmeyer JT. Persistent/Recurrent syringomyelia after Chiari decompression-natural history and management strategies: a systematic review. Evid Based Spine Care J 2013;4:116-25. 8.Klekamp J, Iaconetta G, Samii M. Spontaneous resolution of Chiari I malformation and syringomyelia: case report and review of the literature. Neurosurgery 2001;48:664-7. 9.Almotairi FS, Tisell M. Acute deterioration of adults with Chiari I malformation associated with extensive syrinx. Br J Neurosurg 2020;34:13-7. 10.Massimi L, Della Pepa GM, Tamburrini G, Di Rocco C. Sudden onset of Chiari malformation Type I in previously asymptomatic patients. J Neurosurg Pediatr 2011;8:438-42. 11.Wilkins RH, Brady IA. The Arnold-Chiari malformations. Arch Neurol 1971;25:376-9.