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SİRENGOMİYELİNİN VENTRİKÜLOPERİTONEAL ŞANT İLE TEDAVİSİ: OLGU SUNUMU

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 1998

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Treatment of syringomyelia \vith ventriculoperitoneal shunt: Case report. The ventriculoperitoneal shunting procedure may be first choice of treatment in patients harboring communicating syringomyelia associated with enlarged cerebral ventricles. İn this report, a patient with communicating syringomyelia who was treated by inserting a ventriculoperitoneal shunt is presented. A 41-yeaıd-old man was admitted to our clinic with the complaints of hoarseııess and weakness in ali four extremities. Magnetic resonance imaging of the head and cervical spine revealed the presence of a type I Chiari malformation and syringomyelia associated with enlarged cerebral ventricles. Neurological symptoms improved dramatically after operation. Six months later, a control magnetic resonance imaging was performed to fınd out that the syrinx and the tonsillar hernation as well had disapperared completely. The patient was stili in good neurological condition when he was lost to follow-up 7 years after operation. The accurate treatment of syringomyelia relies upon the understanding of dynamics of cerebıo-spinal fluid and choosing the appropriate surgical procedures. Ventriculoperitoneal shunting should be considered as the initial treatment modality in the case of cervical syringomyelia associated with enlarged ventricles.
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Abstract (Original Language): 
Komünikan sirengomiyeli saplanan olgularda, ventriküler .sisteminde genişlemiş olduğu görülür ise ventriküloperitoneal şant sistemi ilk tedavi seçeneği olarak uygulanabilir. Bu çalışmada ventriküloperitoneal şant takılarak tedavi edilen komünikan sirengomiyelili bir olgu sunulmaktadır. Sağ elinde daha belirgin olmak üzere tüm ekstremitelerinde güçsüzlük ve ses kısıklığı yalanması ile başvuran 41 yaşındaki olgunun yapılan manyetik rezonans görüntüleme tetkikinde serebellum tonsilleıinin 5mm. fıtıklanmasma ek olarak sirengomiyeli ve beyin ventriküllerinde genişleme saptandı. Tedavi için ventriküloperitoneal şant uygulandı. Ameliyat sonrası klinik ve radyolojik tüm bulgular düzeldi. İlk girişimden 7 yıl sonra yapılan kontrol muayenesinde iyilik halinin devam ettiği görüldü. Sirengomiyelinin doğru tedavisi, beyin omurilik sıvısı dinamiğinin anlaşılmasına ve buna yönelik uygun girişimin seçilmesine bağlıdır. Uygun olgularda ventriküloperitoneal şant tatkibi seçkin tedavi yöntemi olarak görülmektedir.
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  • 4
500-504
  • Turkish

REFERENCES

References: 

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