Linked Life Data

9088368

Source:http://linkedlifedata.com/resource/pubmed/id/9088368

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1997-6-27
pubmed:abstractText
During the period from October 1, 1989 to October 1, 1995 a total of 26 cases of Chiari type I malformation not associated with syringomyelia were attended in our Hospital. All patients underwent cranio-cervical decompression, with occipital craniectomy and removal of the posterior arch of C1. In 3/26 (11.5%) cases an additional C2 laminectomy had to be performed and in 1/26 (3.8%) case the C3 laminae were also removed. A first group of 13 patients underwent dural repair with freeze-dried cadaveric dura sutured with continuous 4-0 Vicryl running stitches, reinforced with fibrin sealant (Tissucol). A second group of 13 patients underwent duraplasty with autogenous occipital pericranium also sutured with continuous 4-0 Vycril but no fibrin sealant at all was added. In the first group, in which freeze-dried cadaveric dura plus Tissucol was used, there were 2/13 (15.3%) cases of CSF leak, requiring some additional skin stitches to stop the leak. In 5/13 (38.4%) cases there were notorious subcutaneous CSF accumulations that required repeated punctures plus compressive bandage. In 6/13 (46.1%) pseudomeningoceles appeared that took a year to clear completely. In the 13 patients who underwent dural repair with autogenous occipital pericranium watertight closure was achieved with sutures only, no fibrin sealant was added at all. Neither CSF leaks through the wound nor subcutaneous CSF accumulations were noted. We conclude that, in our hands, autologous pericranium taken from the occipital area, gives better results than freeze-dried cadaveric dura mater in duraplasty for surgical repair of Chiari type I malformation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0001-6268
pubmed:author
pubmed:issnType
Print
pubmed:volume
139
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
112-9
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:year
1997
pubmed:articleTitle
Duraplasty with freeze-dried cadaveric dura versus occipital pericranium for Chiari type I malformation: comparative study.
pubmed:affiliation
Division of Neurosurgery, Clinica Universitaria, University of Navarra, Pamplona, Spain.
pubmed:publicationType
Journal Article, Comparative Study