Subacute Subdural Hygroma and Presyrinx Formation After Foramen Magnum Decompression With Duraplasty for Chiari Type 1 Malformation -Case Report-

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  • SUZUKI Fumio
    Department of Neurosurgery, Shiga University of Medical Science
  • KITAGAWA Tadashi
    Department of Neurosurgery, Shiga University of Medical Science
  • TAKAGI Kenji
    Department of Neurosurgery, Shiga University of Medical Science
  • NOZAKI Kazuhiko
    Department of Neurosurgery, Shiga University of Medical Science

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  • —Case Report—

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説明

A 15-year-old girl developed a rare case of subdural hygroma after foramen magnum decompression for Chiari type 1 malformation manifesting as rapid symptom deterioration around 10 days after uncomplicated operation with uneventful immediate postoperative course. Progressive enlargement of the subdural hygroma in both supra- and infratentorial spaces was followed by the development of hydrocephalus. Syringomyelia improved shortly after the first operation but then deteriorated with massive presyrinx formation. Reoperation with wide opening of the arachnoid membrane lead to a rapid resolution of the hydrocephalus and the presyrinx. The present case shows that wide opening of the arachnoid membrane is an effective therapeutic option.<br>

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