Skip to main content

Advertisement

SpringerLink
Log in

Surgical treatment of CM2 and syringomyelia in a series of 231 myelomeningocele patients

  • Surgery CM2
  • Published:
Neurological Sciences Aims and scope Submit manuscript

Abstract

A series of 231 consecutive patients with myelomeningocele was reviewed for what concerns the Chiari II malformation. This was present in 228 subjects (98.8%), but was symptomatic in 74 patients (31.5%) and required surgery just in 26 cases (11.4%). First treatment was addressed to hydrocephalus which was always associated. Shunting reverted the symptoms in 12 patients, but failed in 14 who required craniocervical decompression. Mortality consisted of two cases (one early and one delayed). All the remaining patients achieved satisfactory results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Dias MS (1999) Myelomeningocele. In: Choux M, Di Rocco C, Hockley A et al (eds) Pediatric Neurosurgery. Churchill-Livingstone, London, pp 33–59

  2. Gilbert JN, Jones KL, Rorke LB, Chernoff GF, James HE (1986) Central nervous system anomalies associated with meningomyelocele, hydrocephalus, and the Arnold-Chiari malformation: reappraisal of theories regarding the pathogenesis of posterior neural tube closure defects. Neurosurgery 18:559–564

    Article  PubMed  CAS  Google Scholar 

  3. Hudgins RJ, Boydstone WR (1995) Bone regrowth and recurrence of symptoms following decompression in the infant with Chiari II malformation. Pediatr Neurosurg 23:323–327

    Article  PubMed  CAS  Google Scholar 

  4. McLaughlin MR, Wahlig JB, Pollack IF (1997) Incidence of post-laminectomy kyphosis after Chiari decompression. Spine 22:613–617

    Article  PubMed  CAS  Google Scholar 

  5. McLone DG (1992) Continuing concepts in the management of spina bifida. Pediatr Neurosurg 18:254–256

    Article  PubMed  CAS  Google Scholar 

  6. McLone DG, Dias MS (2003) The Chiari II malformation: cause and impact. Childs Nerv Syst 19:540–550

    Article  PubMed  Google Scholar 

  7. Pollack IF, Pang D, Albright AL, Krieger D (1992) Outcome following hindbrain decompression of symptomatic Chiari malformations in children previously treated with myelomeningocele closure and shunts. J Neurosurg 77:881–888

    Article  PubMed  CAS  Google Scholar 

  8. Stevenson KL (2004) Chiari type II malformation: past, present, and future. Neurosurg Focus 16(2):E5

    Article  PubMed  Google Scholar 

  9. Talamonti G, D’Aliberti G, Collice M (2007) Myelomeningocele: long-term neurosurgical treatment and follow-up in 202 patients. J Neurosurg (5 Suppl Pediatrics) 107:368

    Article  Google Scholar 

  10. Vandertop WP, Asai A, Hoffman HJ, Drake JM, Humphreys RP, Rutka JT et al (1992) Surgical decompression for symptomatic Chiari II malformation in neonates with myelomeningocele. J Neurosurg 77:541–544

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

The authors declare that there is no actual or potential conflict of interest in relation to this article.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Niguarda Ca’Granda Hospital, Milan, Italy

    Giuseppe Talamonti & Samis Zella

Authors
  1. Giuseppe Talamonti
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Samis Zella
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Giuseppe Talamonti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Talamonti, G., Zella, S. Surgical treatment of CM2 and syringomyelia in a series of 231 myelomeningocele patients. Neurol Sci 32 (Suppl 3), 331–333 (2011). https://doi.org/10.1007/s10072-011-0687-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10072-011-0687-0

Keywords

Search

Navigation