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[Syringomyelia in children].

Authors
Type
Published Article
Journal
Neurochirurgie
0028-3770
Publisher
Elsevier
Publication Date
Volume
45 Suppl 1
Pages
37–57
Identifiers
PMID: 10420403
Source
Medline
License
Unknown

Abstract

From 1985 to 1997, 442 children were treated for syringomyelia. One hundred and eighty eight had syringomyelia in association with Chiari I malformation. In 65% of the case scoliosis was the initial symptom. All these children were treated by posterior fossa decompression, 95% were clinically improved or stabilized. The scoliosis remained unchanged or improved in only 44% of the cases. Many other causes of craniovertebral junction anomalies have been found (Chiari II, achondroplasia, mucopolysaccharidosis, craniosynostosis, Dandy-Walker malformation, posterior fossa cysts, birth injuries, or other causes of raised intracranial pressure). All these children were treated by posterior fossa decompression or when possible treatment of the cause. Features and results are presented. Spinal causes (diastematomyelias, lumbar lipomas, ventricule terminalis, spinal tumors ...) are presented. Whe discuss the treatment of scoliosis with specific attention to scoliosis associated to isolated syringomyelia.

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