ER‹ÞK‹N ÜST SP‹NAL KORD BASILARINDA GÖZDEN KAÇAN B‹R NEDEN: T‹P 1 CH‹AR‹ MALFORMASYONU
Journal Title: Journal of Turkish Spinal Surgery - Year 2006, Vol 17, Issue 1
Abstract
Tip-1 Chiari malformasyonu di¤er ad›yla primer serebellar ektopi; serebellar tonsillerin foramen magnumdan servikal spinal kanala do¤ru yer de¤ißtirmesidir. Bu malformasyonun tam oluß mekanizmas› bilinmemekte ve olußmas›nda çeßitli teoriler öne sürülmektedir. Tip-1 Chiari Malformasyonu’nda klinik; beyin sap›, medulla, alt kafa çiftleri, serebellum ve spinal kord bas›s›- na ba¤l›d›r. En s›k görülen bulgu, % 34 oran›nda suboksipital baß a¤r›s›d›r. A¤r› ikinci s›kl›kta servikal spinal bölgede görülür. Tip-1 Chiari malformasyonu tan›s›nda kraniovertebral bileßkenin manyetik rezonans görüntülemesi (MRG) alt›n standartt›r. Ancak günümüze kadar belirlenmiß kesin bir tedavi yöntemi yoktur. Semptomatik hastalarda cerrahi tedavi, ilerleyen nörolojik defisitleri durdurmak amac›yla yap›lmaktad›r.
Authors and Affiliations
Hakan SABUNCUOĞLU, İ. Semih KESKİL
Keywords
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