Surgical History of Sleep Apnea in Pediatric Patients with Chiari Type 1 Malformation.
Sleep apnea represents a relative indication for posterior fossa decompression in pediatric patients with Chiari malformation type 1. Duraplasty was associated with improvement of sleep apnea in 100% of patients and dural splitting with improvement in 50% of patients. Duraplasty and dural splitting were associated with a similar reduction in tonsillar herniation on radiographic imaging of 58% (37% excluding tonsillectomy) and 35%, respectively. Longitudinal follow-up studies of patients with either neurologic deficits or severe symptoms will further elucidate the natural history of Chiari malformation type 1 and more appropriately gauge the risk-benefit tradeoff of surgical intervention.
['Pomeraniec|Isaac Jonathan|IJ|', 'Ksendzovsky|Alexander|A|', 'Yu|Pearl L|PL|', 'Jane|John A|JA|']
D001139:Arnold-Chiari Malformation D002648:Child D002675:Child, Preschool D019299:Decompression, Surgical D004388:Dura Mater D006801:Humans D008279:Magnetic Resonance Imaging D012891:Sleep Apnea Syndromes D016896:Treatment Outcome
Sleep apnea Chiari malformation Duraplasty Dural splitting