Chiari 1 malformation and holocord syringomyelia presenting as abrupt onset foot drop
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Hugh J. McMillan & Erick Sell & Munyao Nzau & Enrique C. G. Ventureyra
- چاپ و سال / کشور: 2010
Description
We present two patients with a Chiari 1 malformation and holocord syringomyelia who presented with abrupt onset unilateral foot drop. Neurophysiologic testing was consistent with a proximal nerve root lesion. This assisted with localization and directed magnetic resonance (MR) imaging to lumbosacral spine and nerve roots. Each child underwent a suboccipital craniectomy and laminectomy with duroplasty to decompress the foramen magnum. Each child also showed rapid and complete clinical recovery despite the significant electromyographic and MRI abnormalities on initial study.
Childs Nerv Syst (2011) 27:183–186 DOI 10.1007/s00381-010-1275-y Received: 28 July 2010 / Accepted: 24 August 2010 / Published online: 2 September 2010