Scoliosis and syringomyelia with chiari malformation after lumbar shunting

Hsin Hung Chen, Feng Chi Chang, Tai-Tong Wong

研究成果: 雜誌貢獻文章

2 引文 (Scopus)

摘要

Unsteady gait was noted in a 2-year-old boy with a lumboperitoneal (LP) shunt that had been inserted 1 year earlier for increased head circumference caused by communicating hydrocephalus. Scoliosis was also noted during postoperative follow-up. Magnetic resonance imaging revealed new hindbrain tonsillar herniation and an extensive syrinx from C3 to L1. The malfunctioning LP shunt was removed and posterior fossa decompression with ventriculoperitoneal shunt insertion was performed. The unsteady gait recovered completely and scoliosis improved. Magnetic resonance imaging demonstrated resolution of the syrinx and tonsillar herniation. Acquired Chiari I malformation after LP shunt is well documented; usually, patients have no symptoms. This is the first report to have all the cause and effect mechanisms among syringomyelia, scoliosis and Chiari I malformation in 1 patient. We review the literature and discuss the possible mechanisms.

原文英語
頁(從 - 到)384-388
頁數5
期刊Journal of the Chinese Medical Association
73
發行號7
DOIs
出版狀態已發佈 - 七月 1 2010
對外發佈Yes

指紋

Syringomyelia
Scoliosis
Neurologic Gait Disorders
Encephalocele
Syringes
Magnetic Resonance Imaging
Ventriculoperitoneal Shunt
Rhombencephalon
Hydrocephalus
Decompression
Head

ASJC Scopus subject areas

  • Medicine(all)

引用此文

Scoliosis and syringomyelia with chiari malformation after lumbar shunting. / Chen, Hsin Hung; Chang, Feng Chi; Wong, Tai-Tong.

於: Journal of the Chinese Medical Association, 卷 73, 編號 7, 01.07.2010, p. 384-388.

研究成果: 雜誌貢獻文章

@article{c0bc950248d64a92a264b5361bc3e129,
title = "Scoliosis and syringomyelia with chiari malformation after lumbar shunting",
abstract = "Unsteady gait was noted in a 2-year-old boy with a lumboperitoneal (LP) shunt that had been inserted 1 year earlier for increased head circumference caused by communicating hydrocephalus. Scoliosis was also noted during postoperative follow-up. Magnetic resonance imaging revealed new hindbrain tonsillar herniation and an extensive syrinx from C3 to L1. The malfunctioning LP shunt was removed and posterior fossa decompression with ventriculoperitoneal shunt insertion was performed. The unsteady gait recovered completely and scoliosis improved. Magnetic resonance imaging demonstrated resolution of the syrinx and tonsillar herniation. Acquired Chiari I malformation after LP shunt is well documented; usually, patients have no symptoms. This is the first report to have all the cause and effect mechanisms among syringomyelia, scoliosis and Chiari I malformation in 1 patient. We review the literature and discuss the possible mechanisms.",
keywords = "Acquired Chiari malformation, Hydrocephalus, Lumboperitoneal shunt, Scoliosis, Syringomyelia",
author = "Chen, {Hsin Hung} and Chang, {Feng Chi} and Tai-Tong Wong",
year = "2010",
month = "7",
day = "1",
doi = "10.1016/S1726-4901(10)70082-4",
language = "English",
volume = "73",
pages = "384--388",
journal = "Journal of the Chinese Medical Association",
issn = "1726-4901",
publisher = "Elsevier Taiwan LLC",
number = "7",

}

TY - JOUR

T1 - Scoliosis and syringomyelia with chiari malformation after lumbar shunting

AU - Chen, Hsin Hung

AU - Chang, Feng Chi

AU - Wong, Tai-Tong

PY - 2010/7/1

Y1 - 2010/7/1

N2 - Unsteady gait was noted in a 2-year-old boy with a lumboperitoneal (LP) shunt that had been inserted 1 year earlier for increased head circumference caused by communicating hydrocephalus. Scoliosis was also noted during postoperative follow-up. Magnetic resonance imaging revealed new hindbrain tonsillar herniation and an extensive syrinx from C3 to L1. The malfunctioning LP shunt was removed and posterior fossa decompression with ventriculoperitoneal shunt insertion was performed. The unsteady gait recovered completely and scoliosis improved. Magnetic resonance imaging demonstrated resolution of the syrinx and tonsillar herniation. Acquired Chiari I malformation after LP shunt is well documented; usually, patients have no symptoms. This is the first report to have all the cause and effect mechanisms among syringomyelia, scoliosis and Chiari I malformation in 1 patient. We review the literature and discuss the possible mechanisms.

AB - Unsteady gait was noted in a 2-year-old boy with a lumboperitoneal (LP) shunt that had been inserted 1 year earlier for increased head circumference caused by communicating hydrocephalus. Scoliosis was also noted during postoperative follow-up. Magnetic resonance imaging revealed new hindbrain tonsillar herniation and an extensive syrinx from C3 to L1. The malfunctioning LP shunt was removed and posterior fossa decompression with ventriculoperitoneal shunt insertion was performed. The unsteady gait recovered completely and scoliosis improved. Magnetic resonance imaging demonstrated resolution of the syrinx and tonsillar herniation. Acquired Chiari I malformation after LP shunt is well documented; usually, patients have no symptoms. This is the first report to have all the cause and effect mechanisms among syringomyelia, scoliosis and Chiari I malformation in 1 patient. We review the literature and discuss the possible mechanisms.

KW - Acquired Chiari malformation

KW - Hydrocephalus

KW - Lumboperitoneal shunt

KW - Scoliosis

KW - Syringomyelia

UR - http://www.scopus.com/inward/record.url?scp=77955259196&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955259196&partnerID=8YFLogxK

U2 - 10.1016/S1726-4901(10)70082-4

DO - 10.1016/S1726-4901(10)70082-4

M3 - Article

C2 - 20688305

AN - SCOPUS:77955259196

VL - 73

SP - 384

EP - 388

JO - Journal of the Chinese Medical Association

JF - Journal of the Chinese Medical Association

SN - 1726-4901

IS - 7

ER -