NDLI: The effects of posterior fossa decompressive surgery in adult patients with Chiari malformation and sleep apnea.

Please wait, while we are loading the content...

The influence of the relative timing of arterial and subarachnoid space pulse waves on spinal perivascular cerebrospinal fluid flow as a possible factor in syrinx development.

Insulation discontinuity in a vagus nerve stimulator lead: a treatable cause of intolerable stimulation-related symptoms.

Gamma Knife radiosurgery for hemangiomas of the cavernous sinus: a seven-institute study in Japan.

Functional outcome after complete surgical removal of giant vestibular schwannomas.

Modulation of physiological hemostasis by irrigation solution: comparison of various irrigation solutions using a mouse brain surface bleeding model.

The effects of posterior fossa decompressive surgery in adult patients with Chiari malformation and sleep apnea.

Evaluation of ventriculomegaly using diffusion tensor imaging: correlations with chronic hydrocephalus and atrophy.

Usefulness of composite methionine-positron emission tomography/3.0-tesla magnetic resonance imaging to detect the localization and extent of early-stage Cushing adenoma.

Significance of postoperative fluid diuresis in patients undergoing transsphenoidal surgery for growth hormone-secreting pituitary adenomas.

Failure of a Torkildsen shunt after functioning for 50 years.

Image-guided convection-enhanced delivery of muscimol to the primate brain.

A comprehensive analysis of hearing preservation after radiosurgery for vestibular schwannoma.

Trigeminal neuralgia.

Computed tomography angiography, perfusion computed tomography, and a drug-eluting stent for the treatment of in-stent restenosis of the middle cerebral artery.

Gamma Knife stereotactic radiosurgery for idiopathic trigeminal neuralgia.

Sciatic nerve injury model in the axolotl: functional, electrophysiological, and radiographic outcomes.

Efficacy of silver-bearing external ventricular drainage catheters: a retrospective analysis.

Motoneuron survival after chronic and sequential peripheral nerve injuries in the rat.

Outcomes following single-treatment Gamma Knife surgery for trigeminal neuralgia with a minimum 3-year follow-up.

Long-term outcome following ilioinguinal neurectomy for chronic pain.

The genetics of sporadic ruptured and unruptured intracranial aneurysms: a genetic meta-analysis of 8 genes and 13 polymorphisms in approximately 20,000 individuals.

Bilateral deep brain stimulation for treatment of medically refractory paroxysmal nonkinesigenic dyskinesia.

Comparison of bioactive coils and bare platinum coils for treatment of intracranial aneurysms: a matched-pair analysis.

The effect of acute postoperative pain and chronic neuropathic pain on subsequent weight gain in the rat.

Intraoperative computed tomography angiography with computed tomography perfusion imaging in vascular neurosurgery: feasibility of a new concept.

Enhancement of regeneration with glia cell line-derived neurotrophic factor-transduced human amniotic fluid mesenchymal stem cells after sciatic nerve crush injury.

Maximizing the extent of tumor resection during transsphenoidal surgery for pituitary macroadenomas: can endoscopy replace intraoperative magnetic resonance imaging?

Endoscopy versus MR imaging.

Endovascular coil occlusion of 152 middle cerebral artery aneurysms: initial and midterm angiographic and clinical results.

Embolization of middle cerebral artery aneurysms: ready for prime time?

Magnetic resonance diffusion tensor imaging and tractography of intracranial cavernous malformations: preliminary observations and characterization of the hemosiderin rim.

Small cerebellopontine angle cisterns inpatients with trigeminal neuralgia.

Tonsillar herniation.

Meralgia paresthetica.

Intracerebral hemorrhage and seizures.

Year: 2010 Volume: 112 Issue: 3

Year: 2010 Volume: 112 Issue: 2

Year: 2010 Volume: 112 Issue: 1

Year: 2009 Volume: 111

The effects of posterior fossa decompressive surgery in adult patients with Chiari malformation and sleep apnea.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Botelho, Ricardo Vieira Bittencourt, Lia Rita Azeredo Rotta, José Marcus Tufik, Sérgio
Description	Country affiliation: Brazil Author Affiliation: Botelho RV ( Neurosurgical Service, Hospital do Servidor publico do Estado de São Paulo, São Paulo, Brazil. bitbot@uol.com.br)
Abstract	OBJECT: One of the feared consequences of craniovertebral junction diseases is apnea. Although several cases of patients with central apnea have been described, obstructive sleep apnea has been identified as the most frequent manifestation of sleep respiratory disorder. Neuronal involvement may be responsible for both central and obstructive apneas. The objective of this work was to study the effect of posterior fossa decompressive surgery on respiratory parameters during sleep in patients with craniovertebral junction malformations and breathing-related sleep disorders. METHODS: In this study, prospectively enrolled consecutive symptomatic adult patients were monitored with full-night polysomnography before and after surgical decompression of the cranial posterior fossa. RESULTS: Of the 25 patients who were evaluated, 68% received a diagnosis of sleep apnea. After surgery, the mean number of respiratory events decreased from 180.70 to 69.29 (p = 0.005); the mean number of obstructive events decreased from 107.37 to 60.58 (p = 0.01); and the mean number of central events decreased from 38.45 to 8.05 (p = 0.01). The mean preoperative apnea/hypopnea index decreased from 26.68 to 12.98 (p = 0.06), and the mean central apnea index decreased from 13.81 to 1.68 (p = 0.01). CONCLUSIONS: Decompressive surgery in patients with craniovertebral junction malformations resulted in decreased respiratory events during sleep, lowered sleep fragmentation, and enhanced the sleep apnea index in a significant number of patients. The effect was more pronounced in patients with central apnea.
File Format	HTM / HTML
ISSN	00223085
e-ISSN	19330693
Journal	Journal of Neurosurgery
Issue Number	4
Volume Number	112
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2010-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Neurosurgery Arnold-chiari Malformation Surgery Cranial Fossa, Posterior Decompression, Surgical Neurosurgical Procedures Sleep Apnea Syndromes Complications Pathology Magnetic Resonance Imaging Polysomnography Prospective Studies Etiology Clinical Trial
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Posterior fossa reconstruction using titanium plate for the treatment of cerebellar ptosis after decompression for Chiari malformation.

Intraoperative somatosensory evoked potential recovery following opening of the fourth ventricle during posterior fossa decompression in Chiari malformation: case report.

Posterior fossa volume increase after surgery for Chiari malformation Type I: a quantitative assessment using magnetic resonance imaging and correlations with the treatment response.

Normalization of hindbrain morphology after decompression of Chiari malformation Type I.

Long-term outcome of surgical management of adult Chiari I malformation.

Posterior fossa decompression and reconstruction in adolescents and adults with the Chiari I malformation.

Posterior fossa arachnoid cysts and cerebellar tonsillar descent: short review.

Teaching case: Chiari type I/ cerebellar ectopia headaches: complete resolution following posterior fossa decompressive surgery.

Transitory spinal accessory nerve injury following post-fossa surgery for Chiari malformation.

The effects of posterior fossa decompressive surgery in adult patients with Chiari malformation and sleep apnea.

Similar Documents

Posterior fossa reconstruction using titanium plate for the treatment of cerebellar ptosis after decompression for Chiari malformation.

Intraoperative somatosensory evoked potential recovery following opening of the fourth ventricle during posterior fossa decompression in Chiari malformation: case report.

Posterior fossa volume increase after surgery for Chiari malformation Type I: a quantitative assessment using magnetic resonance imaging and correlations with the treatment response.

Normalization of hindbrain morphology after decompression of Chiari malformation Type I.

Long-term outcome of surgical management of adult Chiari I malformation.

Posterior fossa decompression and reconstruction in adolescents and adults with the Chiari I malformation.

Posterior fossa arachnoid cysts and cerebellar tonsillar descent: short review.

Teaching case: Chiari type I/ cerebellar ectopia headaches: complete resolution following posterior fossa decompressive surgery.

Transitory spinal accessory nerve injury following post-fossa surgery for Chiari malformation.

The effects of posterior fossa decompressive surgery in adult patients with Chiari malformation and sleep apnea.