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Chinese Journal of Clinicians(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (11): 937-940. doi: 10.3877/cma.j.issn.1674-0785.2020.11.017

Special Issue:

• Review • Previous Articles     Next Articles

Advances in research of reoperation after foramen magnum decompression for syringomyelia

Xiwen Su1, Runmin Yan1,()   

  1. 1. Department of Neurosurgery, PLA General Hospital Fourth Medical Center, Beijing 100048, China
  • Received:2020-04-07 Online:2020-11-15 Published:2021-03-23
  • Contact: Runmin Yan

Abstract:

Syringomyelia occurs in about 70% of cases with Chiari malformation and 10% of cases with basilar invagination. There are many surgical treatments for Chiari malformation with syringomyelia, such as posterior fossa decompression and cavitary shunt. Different methods of posterior fossa decompression have been performed in Chiari malformation with syringomyelia, with varying failed rates reported. At present, there are many reoperation procedures for failed cases, such as second foramen magnum decompression, syringo-subarachnoid shunt, syringo-abdominal shunt, syringo-thoracic shunt, fourth ventricle-cervical subarachnoid shunt, and surgical treatments for special complications. Each procedure should be selected based on the patient's condition to relieve the symptoms.

Key words: Chiari malformation, Syringomyelia, Foramen magnum decompression, Syringo-subarachnoid shunt, Reoperation

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