Chiari malformation at adults surgical treatment results

Abstract

The results of 93 patients, operated in 1995–2005 yrs with various kinds of Chiari malformation supervision and surgical treatment were analyzed. For the period of investigation three different variants of surgical tactics depending on type of Chiari malformation were consistently applied. Surgical tactics change have been caused by search of clinical results improvement ways and unsatisfactory results on control MRI researches in case of first and second surgical tactics variants application.After operation and in the remote period the neurological semiology has been in appreciated in details.For best results achievement the surgical treatment should be directed on suboccipital decompression, restoration of cerebrospinal fluid outflow at craniovertebral junction, posterior fossa or/and craniovertebral junction total volume increase.