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- José Alberto Gonçalves da Silva, Luiz Ricardo Santiago Melo, Antônio Fernandes de Araújo, and Adailton Arcanjo Dos Santos Jr.
- Neurosurgical Division, Hospital Unimed, João Pessoa, PB, Brazil. jags1803@hotmail.com
- Arq Neuropsiquiatr. 2010 Oct 1;68(5):694-9.
AbstractThe authors describe ten cases of syringomyelia without hindbrain herniation depicted by preoperative magnetic resonance imaging (MRI) in supine position. However, the herniation was observed in all cases during the operation with the patient in sitting position. The postoperative MRI revealed an intense reduction of the syrinx in all patients, as well as it was also observed a clinical amelioration in all cases. The surgical treatment was based on a large craniectomy with the patient in sitting position, tonsillectomy, large opening of the fourth ventricle and duraplasty with creation of a large cisterna magna.
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