Scoliosis and syringomyelia with chiari malformation after lumbar shunting

Hsin Hung Chen, Feng Chi Chang, Tai Tong Wong

研究成果: 雜誌貢獻文章同行評審

3 引文 斯高帕斯(Scopus)


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.

頁(從 - 到)384-388
期刊Journal of the Chinese Medical Association
出版狀態已發佈 - 7月 2010

ASJC Scopus subject areas

  • 醫藥 (全部)


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