Fully endoscopic posterior fossa decompression for Chiari malformation type I: illustrative case

Daniel Staribacher; Guenther C. Feigl; Gavin Britz; Dzmitry Kuzmin

doi:10.3171/CASE23216

Fully endoscopic posterior fossa decompression for Chiari malformation type I: illustrative case

Daniel Staribacher, Guenther C. Feigl, Gavin Britz, Dzmitry Kuzmin

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND Surgery for symptomatic Arnold-Chiari malformation type I involves posterior fossa decompression. There are various approaches, including endoscope-assisted ones. New possibilities and fields of application of fully endoscopic techniques are currently being developed since new and advanced endoscopic equipment and instrumentation are available. OBSERVATIONS The authors describe the case of a fully endoscopic microsurgical procedure in a 30-year-old female patient with progressive vertigo who was diagnosed with Chiari malformation type I. Neuronavigation and neuromonitoring were used during the surgery. LESSONS Fully endoscopic surgery can be successfully performed in patients with Chiari malformation I. Intraoperative neuromonitoring and neuronavigation increase safety during this procedure.

Original language	English (US)
Article number	CASE23216
Journal	Journal of Neurosurgery: Case Lessons
Volume	6
Issue number	17
DOIs	https://doi.org/10.3171/CASE23216
State	Published - Oct 23 2023

Keywords

Chiari malformation
fully endoscopic
posterior fossa decompression

ASJC Scopus subject areas

Clinical Neurology
Surgery

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10.3171/CASE23216

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title = "Fully endoscopic posterior fossa decompression for Chiari malformation type I: illustrative case",

abstract = "BACKGROUND Surgery for symptomatic Arnold-Chiari malformation type I involves posterior fossa decompression. There are various approaches, including endoscope-assisted ones. New possibilities and fields of application of fully endoscopic techniques are currently being developed since new and advanced endoscopic equipment and instrumentation are available. OBSERVATIONS The authors describe the case of a fully endoscopic microsurgical procedure in a 30-year-old female patient with progressive vertigo who was diagnosed with Chiari malformation type I. Neuronavigation and neuromonitoring were used during the surgery. LESSONS Fully endoscopic surgery can be successfully performed in patients with Chiari malformation I. Intraoperative neuromonitoring and neuronavigation increase safety during this procedure.",

keywords = "Chiari malformation, fully endoscopic, posterior fossa decompression",

author = "Daniel Staribacher and Feigl, {Guenther C.} and Gavin Britz and Dzmitry Kuzmin",

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T1 - Fully endoscopic posterior fossa decompression for Chiari malformation type I

T2 - illustrative case

AU - Staribacher, Daniel

AU - Feigl, Guenther C.

AU - Britz, Gavin

AU - Kuzmin, Dzmitry

PY - 2023/10/23

Y1 - 2023/10/23

N2 - BACKGROUND Surgery for symptomatic Arnold-Chiari malformation type I involves posterior fossa decompression. There are various approaches, including endoscope-assisted ones. New possibilities and fields of application of fully endoscopic techniques are currently being developed since new and advanced endoscopic equipment and instrumentation are available. OBSERVATIONS The authors describe the case of a fully endoscopic microsurgical procedure in a 30-year-old female patient with progressive vertigo who was diagnosed with Chiari malformation type I. Neuronavigation and neuromonitoring were used during the surgery. LESSONS Fully endoscopic surgery can be successfully performed in patients with Chiari malformation I. Intraoperative neuromonitoring and neuronavigation increase safety during this procedure.

AB - BACKGROUND Surgery for symptomatic Arnold-Chiari malformation type I involves posterior fossa decompression. There are various approaches, including endoscope-assisted ones. New possibilities and fields of application of fully endoscopic techniques are currently being developed since new and advanced endoscopic equipment and instrumentation are available. OBSERVATIONS The authors describe the case of a fully endoscopic microsurgical procedure in a 30-year-old female patient with progressive vertigo who was diagnosed with Chiari malformation type I. Neuronavigation and neuromonitoring were used during the surgery. LESSONS Fully endoscopic surgery can be successfully performed in patients with Chiari malformation I. Intraoperative neuromonitoring and neuronavigation increase safety during this procedure.

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Fully endoscopic posterior fossa decompression for Chiari malformation type I: illustrative case

Abstract

Keywords

ASJC Scopus subject areas

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