Chiari malformation;
foramen magnum syndrome;
hydrocephalus;
MRI;
ventriculoperitoneal shunt;
D O I:
10.3109/02688697.2010.495174
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
An adult case of shunt malfunction presenting with acute quadriparesis as a manifestation of foramen magnum syndrome with acquired Chiari type I malformation is described in this study. The corticospinal function was restored after shunt revision. MRI showing considerable ascent of cerebellar tonsils after surgery is shown. Theories regarding the formation of acquired Chiari I malformations, alongside the possible synergistic roles of intracranial pathologies and cerebrospinal fluid drainage in the development of this entity are discussed.
机构:
Univ Vermont, Med Ctr, Div Neurosurg, Burlington, VT USAUniv Vermont, Med Ctr, Div Neurosurg, Burlington, VT USA
Olszewski, Adam M.
Proctor, Mark R.
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机构:
Harvard Med Sch, Boston Childrens Hosp, Dept Neurosurg, 300 Longwood Ave, Boston, MA 02459 USAUniv Vermont, Med Ctr, Div Neurosurg, Burlington, VT USA
机构:
St Bartholomews Hosp, Dept Neurosurg, London E1 1BB, England
Royal London Hosp, London E1 1BB, EnglandSt Bartholomews Hosp, Dept Neurosurg, London E1 1BB, England
Sewell, M. D.
Akram, H.
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机构:
St Bartholomews Hosp, Dept Neurosurg, London E1 1BB, England
Royal London Hosp, London E1 1BB, EnglandSt Bartholomews Hosp, Dept Neurosurg, London E1 1BB, England
Akram, H.
Wadley, J.
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机构:
St Bartholomews Hosp, Dept Neurosurg, London E1 1BB, England
Royal London Hosp, London E1 1BB, EnglandSt Bartholomews Hosp, Dept Neurosurg, London E1 1BB, England
机构:
Royal Victoria Infirm, Dept Neurosurg, Newcastle Upon Tyne, Tyne & Wear, EnglandRoyal Victoria Infirm, Dept Neurosurg, Newcastle Upon Tyne, Tyne & Wear, England
Giannakaki, Venetia
Nissen, Justin
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机构:
Royal Victoria Infirm, Dept Neurosurg, Newcastle Upon Tyne, Tyne & Wear, EnglandRoyal Victoria Infirm, Dept Neurosurg, Newcastle Upon Tyne, Tyne & Wear, England