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- Massimo Caldarelli, Giancarla Rea, Rafael Cincu, and Concezio Di Rocco.
- Section of Pediatric Neurosurgery, Department of Neurosurgery, Catholic University Medical School, Largo A. Gemelli, 8, 00168 Rome, Italy. iclnc@rm.unicatt.it
- Childs Nerv Syst. 2002 May 1; 18 (5): 207-10.
BackgroundChiari type III is the rarest of the Chiari malformations, and it is usually associated with a dismal prognosis in terms of early death or severe disability in long-term survivors. Surgical treatment usually consists of primary closure of the occipital/cervical encephalocele, followed by delayed CSF shunting for the associated hydrocephalus.MethodsIn our case, we introduced a technical variant consisting in primary external drainage from the malformative sac, followed by closure of the encephalocele and, eventually, by CSF shunting.
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