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  • Title: Endoscopic third ventriculostomy in the management of Chiari I malformation and syringomyelia associated with hydrocephalus.
    Author: Mohanty A, Suman R, Shankar SR, Satish S, Praharaj SS.
    Journal: Clin Neurol Neurosurg; 2005 Dec; 108(1):87-92. PubMed ID: 16311156.
    Abstract:
    BACKGROUND: Chiari malformation with syringomyelia is conventionally managed with foramen magnum decompression and duroplasty. In presence of hydrocephalus, a ventriculoperitoneal shunt insertion has been the initial preferred mode of treatment. METHODS: Two patients of Chiari I malformation with syringomyelia who had associated hydrocephalus were initially treated with endoscopic third ventriculostomy (ETV). RESULTS: At follow up, both the patients symptomatically improved. Repeat MRI studies revealed collapse of the syrinx cavity and reduction of the Chiari malformation. CONCLUSIONS: Chiari malformation and syrinx associated with hydrocephalus may be effectively managed with endoscopic third ventriculostomy.
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