Intraoperative Computed Tomography for Cervicomedullary Decompression of Foramen Magnum Stenosis in Achondroplasia: Two Case Reports

被引：3
|
作者：
Arishima, Hidetaka [1 ]
Tsunetoshi, Kenzo [1 ]
Kodera, Toshiaki [1 ]
Kitai, Ryuhei [1 ]
Takeuchi, Hiroaki [1 ]
Kikuta, Ken-ichiro [1 ]
机构：
[1] Univ Fukui, Dept Neurosurg, Eiheiji, Fukui 9101193, Japan
来源：
NEUROLOGIA MEDICO-CHIRURGICA | 2013年 / 53卷 / 12期
关键词：
achondroplasia; cervicomedullary decompression; foramen magnum stenosis; intraoperative computed tomography; INTEGRATED NAVIGATION SYSTEM; JUNCTION COMPRESSION; INFANTS;
D O I：
10.2176/nmc.cr2012-0421
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The authors report two cases of cervicomedullary decompression of foramen magnum (FM) stenosis in children with achondroplasia using intraoperative computed tomography (iCT). A 14-month-old girl with myelopathy and retarded motor development, and a 10-year-old girl who had already undergone incomplete FM decompression was presented with myelopathy. Both patients underwent decompressive sub-occipitalcraniectomy and C1 laminectomy without duraplasty using iCT. It clearly showed the extent of FM decompression during surgery, which finally enabled sufficient decompression. After the operation, their myelopathy improved. We think that iCT can provide useful information and guidance for sufficient decompression for FM stenosis in children with achondroplasia.
引用
收藏
页码：902 / 906
页数：5
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