Arnold-Chiari Malformation Type I with Syringomyelia
Conditions
Interventions
A Group:Posterior Fossa Decompression
B Group:Posterior Fossa Decompression (PFD) with Cerebellar tonsil Thermocoagulation (PFDCT)
Sponsors
Fujian Medical University Union Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: (1) Age: 18-65 years old; (2) There are clinical symptoms related to Chiari malformation type I combined with syringomyelia; (3) Sagittal MRI showed that the lower edge of the cerebellar tonsil was 5 mm below the foramen magnum (McRac line), and MR of the cervical thoracic spine showed syringomyelia. (4) No history of trauma in the craniocervical junction.
Exclusion criteria
Exclusion criteria: (1) Combined with spinal trauma, nervous system infectious diseases, spinal cord tumors, tethered cord syndrome, posterior fossa decompression or spinal cord disease surgery, etc.; (2) Patients with invaded skull base, flat skull base, scoliosis, atlantoaxial dislocation, severe ventral compression of the brainstem and spinal cord at the craniocervical junction; (3) There are other intracranial lesions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Karnofsky Performance Scale;Chicago Chiari Outcome Scale;MRI of the craniocervical junction; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale;Improvement in the Syringomyelia;Complications; | — |
Countries
China
Contacts
Public ContactChen Chunmei
Fujian Medical University Union Hospital
Outcome results
None listed