Chiari Malformation in otology practice
Chiari Malformation in otology practice
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DOI：
10.1016/j.anl.2009.02.004
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发表时间：
2010-02-01
影响因子：
1.7
通讯作者：
Kentala, Erna
中科院分区：
文献类型：
--
作者：
Levo, Hilla;Tapani, Erna;Kentala, Erna
本研究的目的是评估基亚里畸形I（CM 1）的患病率、特征性症状和治疗。在耳科三级医院进行了一项回顾性聊天审查，包括2005年期间转诊到赫尔辛基大学医院放射科进行头部磁共振成像（MRI）的439例耳科患者，以及2001-2005年在神经外科就诊的42例诊断为CM 1的患者。我们对医疗记录进行了结构化分析，重点关注患者病史、神经系统症状和放射学检查结果。对于手术患者，收集症状、治疗和手术结果的信息。在439名耳科患者中，CM I的患病率为0.9%。大部分CMI患者在神经外科接受手术治疗，术后2个月，26例（68%）患者从手术中获益，12例（32%）患者症状无明显变化，对于表现为非典型良性位置性眩晕或复发性面瘫的患者，应警惕CMI的可能性。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
The purpose of the study was to evaluate prevalence, characteristic symptoms, and management of Chiari Malformation I (CM1). A retrospective chat review was made in Otology Tertiary Department including 439 otologic patients referred to the Helsinki University Hospital Radiology Department for head magnetic resonance imaging (MRI) during 2005 and also among 42 patients seen at the Department of Neurosurgery in years 2001-2005 with a diagnosis of CM1. We made a structured analysis of medical records focusing on patient history, neurologic symptoms, and radiologic findings. For surgical patients, information was collected on symptoms, treatment, and operative outcome.The prevalence of CM I in the 439 otologic patients was 0.9%. Most CM I patients sent to the Neurosurgery Department were operated on. Two months postoperatively, 26 patients (68%) had benefited from the surgery, but 12 patients (32%) experienced no change to symptoms.The possibility of CM1 should be borne in mind in patients presenting with atypical benign positional vertigo or recurrent facial paresis. (C) 2009 Elsevier Ireland Ltd. All rights reserved.