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Fırat Tıp Dergisi
2010, Cilt 15, Sayı 3, Sayfa(lar) 162-163
[ Turkish ] [ Tam Metin ] [ PDF ]
Symptomatic Chiari Malformation with Syringomyelia after Cervical Trauma: Case Report
Serdar KABATAŞ2, Tufan CANSEVER2, Cem YILMAZ1, Aykan AKAR1, Erdinç CİVELEK2, Nur ALTINÖRS1
1Başkent Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi, ANKARA, Türkiye
2Başkent Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi, İSTANBUL, Türkiye

Chiari malformation type-I (CM-I) is a congenital disorder characterized by downward displacement of the cerebellar tonsils thru the foramen magnum, with/ without syringomyelia. The patients can be asymptomatic until an aggravation condition like cervical trauma occurs. We present a 54 years old male patient suffering from neck pain after traffic accident. He had mild motor weakness in upper extremities. His neuroradiological examinations revealed C6-7 facet and C7 lamina fractures; syringomyelia descending from C1 to T3 and a CM-I. In early post-traumatic follow-up period, his weakness was progressed, foramen magnum decompression and posterior cervical stabilization was performed. His motor weakness recovered and follow-up magnetic resonance imaging (MRI) examination showed an evident regression of syrinx diameter. It should be kept in mind that previously asymptomatic CM-1 patients can become symptomatic after cervical trauma.

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