DOI: 10.36347/sjams.2017.v05i08.068

Pages: 3349-3365

Chiari malformations appears to be complex in its presentation, cause and natural history. The true incidence is not known. Around 3% in children and 1% in adults demonstrate radiological evidence, and all cases need not be symptomatic. There are various surgical options, expansion of foramen magnum has been widely accepted. There are controversies in current surgical strategies. We evaluated the efficacy of foramen magnum decompression and duraplasty alone without any additional procedure in 30 patients. The outcome was assessed by using Chicago Chiari Outcome Scale (CCOS). We observed that, the foramen magnum decompression and duraplasty in cases of chiari malformations with Syrinx is associated with good clinical and radiological outcome. In conclusion, foramen magnum decompression and duraplasty is alone enough, even for the management of Syrinx in cases of chiari malformation with syrinx.