Acquired Chiari Malformation

  • Song, Sang-Woo (Department of Neurosurgery, Seoul National University College of Medicine, Clinical Research Institute, Seoul National University Hospital) ;
  • Chung, Chun-Kee (Department of Neurosurgery, Seoul National University College of Medicine, Clinical Research Institute, Seoul National University Hospital)
  • 발행 : 2006.07.30

초록

Perioperative lumbar drainage of cerebrospinal fluid is commonly used in neurosurgical practice. However, the relationship between lumbar drainage and acquired Chiari malformation is not well established. The authors present an unusual case of paraplegia as a result of acquired Chiari malformation after lumbar drainage. Acquired Chiari malformation can induce compression of cervicomedullary junction and syrinx formation. Foramen magnum decompression is recommended for the solution of such problems.

키워드

참고문헌

  1. Atkinson JLD, Weinshenker BG, Miller GM, Piepgras DG, Mokri B : Acquired Chiari I malformation secondary to spontaneous spinal cerebrospinal fluid leakage and chronic intracranial hypotension syndrome in seven cases. J Neurosurg 88 : 237-242, 1998 https://doi.org/10.3171/jns.1998.88.2.0237
  2. Dagnew E, van Loveren HR, Tew JM Jr : Acute foramen magnum syndrome caused by an acquired Chiari malformation after lumbar drainage of cerebrospinal fluid : report of three cases. Neurosurgery 51 : 823-828, 2002 https://doi.org/10.1097/00006123-200209000-00043
  3. Heiss JD, Patronas N, DeVroom HL, Shawker T, Ennis R, KammererW, et al : Elucidating the pathophysiology of syringomyelia. J Neurosurg 91 : 553-562, 1999 https://doi.org/10.3171/jns.1999.91.4.0553
  4. Johnston I, Jacobson E, Besser M : The aquired Chiari malformation and syringomyelia following spinal CSF drainage : a study of incidence and management. Acta Neurochir (Wien) 140 : 417-427, 1998 https://doi.org/10.1007/s007010050119
  5. Lee JH, Chung CK, Kim HJ : Decompression of the spinal subarachnoid space as a solution for syringomyelia without Chiari malformation. Spinal Cord 40 : 501-506, 2002 https://doi.org/10.1038/sj.sc.3101322
  6. Lee JK, Park JY, Chung HS, Suh JK, Lee KC : Acquired Chiari malformation after ventriculoperitoneal shunt for hydrocephalus associated with Neurocysticercosis. J Korea Neurosurgery 25 : 1313-1317, 1996
  7. Paul D, Derek C, James M, Abhaya V, Harold J, Robin P, et al : Tonsilar herniation : the rule rather than the exception after lumboperitoneal shunting in the pediatric population. J Neurosurg 78 : 568-573, 1993 https://doi.org/10.3171/jns.1993.78.4.0568
  8. Payner TD, Prenger E, Berger TS, Crone KR : Acquired Chiari malformations : incidence, diagnosis, and management. Neurosurgery 34 : 429-434, 1994 https://doi.org/10.1227/00006123-199403000-00007
  9. Samii C, Mobius E, Weber W, Heienbrok HW, Berlit P : Pseudo Chiari type I malformation secondary to cerebrospinal fluid leakage. J Neurol 246 : 162-164, 1999 https://doi.org/10.1007/s004150050327
  10. Sathi S, Stieg PE : 'Acquired' Chiari I malformation after multiple lumbar punctures : case report. Neurosurgery 32 : 306-309, 1993 https://doi.org/10.1227/00006123-199302000-00023
  11. Wouter I, Fredric BM, John LDA, Bahram M : Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. J Neurosurg 84 : 598-605, 1996 https://doi.org/10.3171/jns.1996.84.4.0598