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  • Title: A common case with an unusual association: Chiari I malformation with holocord syrinx.
    Author: Bansal S, Borkar SA, Mahapatra AK.
    Journal: Asian J Neurosurg; 2017; 12(2):241-243. PubMed ID: 28484540.
    Abstract:
    Authors are presenting a common case of Chiari malformation but with a very unusual associated finding, holocord syringomyelia, which responded to posterior fossa decompression. An 11-year-old male patient presented with progressive left hemiparesis and numbness on left half of the body for 4 years. Magnetic resonance imaging of the spine revealed peg-shaped herniation of tonsils 8 mm below the foramen magnum and holocord syringomyelia. No focal intraspinal mass was seen. Chiari I malformation with holocord syrinx was diagnosed. The patient underwent posterior fossa decompression with subpial resection of both tonsils with augmentation duraplasty. Post-operatively, patient improved clinically as well as radiologically.
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