Document Detail

The clinical and surgical feature in 40 patients with primary cerebellar ectopia (adult Chiari malformation).
MedLine Citation:
PMID:  866570     Owner:  NLM     Status:  MEDLINE    
This paper reports 40 patients with primary cerebellar ectopia investigated in the University of Manchester departments of neurology and neurosurgery over the five years, 1968-1973. A review of the clinical and surgical findings showed that (a) pain of varying type was the most common symptom, (b) four main clinical groups could be recognized--syringomyelia, paraparesis, cerebellar syndrome and 'raised pressure' syndrome and (c) surgical decompression of the posterior fossa and upper cervical spine resulted in improvement in over 70 per cent of patients with a small incidence of post-operative complications. It should be emphasised that primary cerebellar ectopia is not uncommon and is an important syndrome in its own right. It is often not accompanied by syringomyelia and in these patients the diagnosis can be difficult without supine myelography.
P D Mohr; F A Strang; M A Sambrook; H G Boddie
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Quarterly journal of medicine     Volume:  46     ISSN:  0033-5622     ISO Abbreviation:  Q. J. Med.     Publication Date:  1977 Jan 
Date Detail:
Created Date:  1977-07-29     Completed Date:  1977-07-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401027     Medline TA:  Q J Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  85-96     Citation Subset:  IM    
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MeSH Terms
Arnold-Chiari Malformation / diagnosis*,  surgery
Intracranial Pressure
Middle Aged
Pain / complications
Paralysis / etiology
Syringomyelia / complications

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