Issue release date: 12.11.2024
2Mehmet Akif Inan Training and Research Hospital, Neurosurgery Clinic, Sanliurfa, Turkey
3Adana Numune Training and Research Hospital, Neurosurgery Clinic, Adana, Turkey DOI : 10.5137/1019-5149.JTN.19049-16.2 AIM: To define the role of phase-contrast cine magnetic resonance imaging (MRI) in deciding the therapeutic strategy and underlying pathophysiology resulting in syrinx formation in patients with Chiari type 0 malformation.
MATERIAL and METHODS: Seven patients who were admitted to our clinic with the diagnosis of Chiari 0 malformation from January 2005 to July 2016 were enrolled in the study. All patients underwent a detailed preoperative neurological examination. Entire neuroaxis MRI and phase-contrast cine MRI were obtained preoperatively and postoperatively.
RESULTS: Seven patients (5 female and 2 male) with Chiari type 0 malformation fulfilled the inclusion criteria. All of the patients had absent cine flow at the craniovertebral junction except two patients. These five patients underwent surgical interventions; suboccipital decompression and duraplasty. All of them showed both clinical and radiological improvement in the postoperative period.
CONCLUSION: Cine flow MRI appears to be a useful tool in the management of patients with Chiari 0 malformation. There was a good correlation between the clinical presentation and cine flow preoperatively, and between clinical improvement and cine flow in the postoperative period.
Keywords : Chiari 0 malformation, Cine flow magnetic resonance imaging, Decompression, Duraplasty