Immediate postoperative resolution of syrinx post-C1/C2 fixation in an operated case of foramen magnum decompression for Chiari malformation: Is Goel's procedure a rescue surgery or a gold standard?
- Resource Type
- article
- Authors
- Ashish Chugh; Prashant Punia; Sarang Gotecha; Jayant Arun Gaud; Rajeev Reddy; Ramis Abdul Aziz
- Source
- Journal of Craniovertebral Junction and Spine, Vol 15, Iss 1, Pp 105-109 (2024)
- Subject
- c1-c2 fixation
chiari malformation
foramen magnum decompression
syringomyelia
Diseases of the musculoskeletal system
RC925-935
- Language
- English
- ISSN
- 0974-8237
99240165
Chiari malformation (CM) is a common neurological disorder with foramen magnum decompression (FMD) as a commonly accepted treatment. The authors present a case of CM-1 wherein there was no radiological instability preoperatively and FMD was done as a treatment, after which the patient improved transiently only to deteriorate further. Atlantoaxial fixation was done as a second-stage procedure, after which the patient improved clinically and radiologically. The knowledge of this case and surgical entity should be borne in mind before the formulation of a treatment plan. It is important that the solution is to identify and treat the underlying pathology rather than to decompress and directly manipulate the tonsils.