Recognition of Cranio-Cervical Instability in the Complex Chiari ...

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¡ Neurological compression and instability at the occiput – C1 ¡ Myelopathy, brainstem dysfunction, lower cranial nerve dysfunction, vertebro-‐ basilar insufficiency ¡ Neurological deficits = urgent need for decompression and stabilization Dickman, Douglas ,Sonntag, BNI Quarterly, 1990
Clivo-‐axial angle 145º No brainstem symptoms Karnofsky index 50 to 100 Pain level from 4/10 to 1/10 No breathing problems Pt is playing sports, achieving A levels, Pilots licence accepted to MIT
Page 1 and 2: Fraser C. Henderson Sr MD, Chief ,
Page 3 and 4: § A significant number of patients
Page 5 and 6: ¡ Discuss How deformative stress a
Page 7 and 8: Kitihara, Neurol Med Chir (Tokyo)19
Page 11 and 12: ¡ Clumping and loss of neurofilame
Page 13 and 14: Mouse optic nerve stretched 2mm (ε
Page 15 and 16: Calcium influx after stretch injury
Page 17 and 18: ¡ Mechanical forces modulate gene
Page 19 and 20: ¡ Compressed arrays of O2 saturati
Page 21 and 22: Neurosurgery: May 2005 - Volume 56
Page 23 and 24: “Loss of the ability of the spine
Page 25 and 26: 130° ABNORMAL Angulation of the br
Page 27 and 28: 130° ABNORMAL • Chiari decompres
Page 29 and 30: ¡ List 1941 ¡ Van Gilder 1985 ¡
Page 31 and 32: ¡ A line drawn along the hard pala
Page 34 and 35: ¡ basio to C1 posterior arch over
Page 36 and 37: ¡ Of 400 normal subjects, none had
Page 38 and 39: flexion-‐extension is the only
Page 40 and 41: Harris measurement = 12mm Harris me
Page 42 and 43: Mechanical stresses ¡ modulate gen
Page 44 and 45: Neurological assessment Sensory mot
Page 48 and 49: 100 90 80 70 60 50 40 30 20 10 0 AS
Page 50 and 51: Surg Neurol Int. 2010; 1: 30. Publi
Page 52 and 53: ¡ Within the population diagnosed

Recognition of Cranio-Cervical Instability in the Complex Chiari ...

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