The symposium is co-organised by The Ann Conroy Trust, in association with Aesculap Academia.
The Ann Conroy Trust is Registered Charity No: 1165808.
We provide Support, Education and Research for patients living with Chiari Malformation, Syringomyelia and associated conditions.
F20 Surgical treatment of paediatric Chiari I malformation: foramen magnum decompression with dura left open, in 70 patients
Kurzbuch AR, Jayamohan J, Magdum S.
Surgery for symptomatic paediatric patients in our unit has consisted of limited sub-occipital craniectomy, C1 laminectomy, durotomy and arachnoid dissection, without dural repair. We carried out an audit of our results, to date, using this approach.
A retrospective single-centre study, of 70 consecutive paediatric patients with Chiari I malformation, operated by two surgeons.
The mean age of this cohort of patients was 10.4 years, the youngest child being aged 2 and the oldest patient being 19. Thirty-two patients had syringomyelia as well as Chiari. Nineteen patients had concomitant scoliosis: Fifty-six patients (4 out of 5) reported post-operative improvement, 11 were clinically unchanged, and 4 noticed worsening of symptoms. Complications included CSF leaks in 6 patients, aseptic meningitis in 3 and CSF collections in 2 cases. Revision surgery was performed in 7 (1 in 10) patients. There was no long term surgical morbidity or mortality.
Foramen magnum decompression, with the dura left open, is a safe and effective surgical treatment in paediatric patients with Chiari I malformation.