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Minim Invasive Neurosurg 1992; 35(6): 183-188
DOI: 10.1055/s-2008-1052275
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© Georg Thieme Verlag Stuttgart · New York

Neurovegetative Störungen bei 230 Fällen basilärer Impression und Arnold-Chiarischer Mißbildung

Neurovegetative Distresses in Basilar Impression and/or Malformation of Arnold-Chiari. A Study of 230 Operated CasesJ. A. Goncalves da Silva, J. C. de Farias Brito, P. Virgolino da Nóbrega
  • Neurochirurgische Klinik der Universität Paraíba in João Pessoa, Paraíba, Brasilien
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Publication History

Publication Date:
18 March 2008 (online)

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Zusammenfassung

Innerhalb eines Zeitraumes von 18 Jahren wurden 230 Fälle basilärer Impression und/oder Arnold-Chiari-Mißbildung operiert. Die Autoren analysieren die neurovegetativen Störungen, die bei 136 (59,1 %) Patienten beobachtet wurden.

Abstract

Within the period of 1971 to 1989 we operated on 230 cases of craniocervical malformations characterised by 189 cases of basilar impression associated with Arnold-chiari malformation, 28 cases of isolated basilar impression and 13 cases of Arnold-Chiari malformation. Autonomic disturbance was observed in 136 (59.1%) cases: sexual disorders like reduced potency and impotency were observed in 86 (60.9%) out of 141 male patients, urinary symptoms in 39 (17 %) patients; and other autonomic features like dyspnea, anhidrosis, hyperhidrosis, Claude Bernard-Horner syndrome and constipation in 41 (17.8%) patients.

Key-Words

Basilar impression - Neurovegetative distresses - Arnold-Chiari malformation