الفهرس 
Correlation between the radiological disappearance of syrinx and clinical improvement in surgical decompression of chiari malformation type I CM- I
AbstractOnly 14 pages are availabe for public view
 |  | from | 98 |  |  |
| | | from | 98 | | |
Abstract
Background: Chiari malformation type I is a disorder in which the cerebellar tonsils protrude through the foramen magnum and into the spinal canal. This anomaly is the leading cause of syringomyelia and occurs with or without associated osseous abnormalities at the craniovertebral junction. CM-I tends to present during or after the second decade of life. Overcrowding of the hindbrain by an underdeveloped posterior fossa commonly causes tonsillar ectopia in CM- I. Magnetic resonance imaging has revolutionized the diagnosis of CM-I and has led to the early detection of cases. These allowed the investigators to better understand the pathogenesis, clinical manifestations, and response to treatment of CM-I and syringomyelia. Objective: To study the correlation between the radiological disappearance of Syrinx and clinical improvement in adults regarding motor deficits, sensory deficits, bowel and bladder dysfunction, after surgical decompression of Chiari Malformation type I (CM1). Methods: This is a prospective and retrospective study done on 20 patients at Cairo University Hospitals in the period between July 2017 and February 2018 fulfilling the inclusion criteria. Diagnosis was done clinically with history (pain, heaviness{u2026}). Examination (motor weakness, sensory level{u2026}) and Radiological findings in MRI. Serial clinical examinations and cervical MR imaging to be performed immediate postoperative and 3 months later for all. Results: The study included 20 patients,13 females and 7 males, ages ranged from 13 to 65 years (mean age 25 years old). The most common clinical findings presented at diagnosis were headache followed by neck pain