Minimally invasive subpial tonsillectomy for Chiari I decompression

BACKGROUND: A number of different surgical techniques have been used through the years to address Chiari I malformation (CMI). METHODS: This article describes how we surgically manage CMI at two high-volume centers. We call the technique the minimally invasive subpial tonsillectomy (MIST). The techn...

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Detalles Bibliográficos
Autores principales: Beecher, Jeffrey S., Liu, Yong, Qi, Xiaoming, Bolognese, Paolo A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2016
Materias:
How I Do it - Neurosurgical Techniques
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4980444/
https://www.ncbi.nlm.nih.gov/pubmed/27379827
http://dx.doi.org/10.1007/s00701-016-2877-2
Descripción
Sumario:BACKGROUND: A number of different surgical techniques have been used through the years to address Chiari I malformation (CMI). METHODS: This article describes how we surgically manage CMI at two high-volume centers. We call the technique the minimally invasive subpial tonsillectomy (MIST). The technique consists of a minimalistic dissection and craniectomy with a short, linear durotomy for the subpial tonsillar resection. The dura is closed without the use of a duraplasty. CONCLUSIONS: We describe our current methods of surgery for CMI. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00701-016-2877-2) contains supplementary material, which is available to authorized users.

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