Neurophysiological evaluation of spinal and low-brainstem structures functions at patients with Chiary malformation in dynamics of surgical treatment
DOI:
https://doi.org/10.25305/unj.58427Keywords:
Сhiary malformation, posterior cranial fossae morphometria, transcranial magnetic stimulation, brainstem reflexes, evaluation of surgery treatment efficacyAbstract
In order to define neurophysiological (NPh) criteria of functions restoration of spinal and low-brainstem structures in early and remote postoperative period at patients with Сhiary malformation complex of NPh methods was applied: registration of motor evoked potentials at transcranial and segmented magnetic stimulation of cervical level, blink- and masticatory brainstem reflexes. Results of clinical end NPh investigations were analyzed in correlation with morfometric studies of posterior cranial fossa (PCF) and syringomyelitic cysts sizes, rate of cerebellum tonsils dislocation into the large occipital foramen based on MRI investigations of PCF using specially developed mathematic program (after E.I. Slyhnko). Complex NPh testing in dynamics of surgery treatment guarantees objective evaluation criteria for decompression efficacy of low-brainstem and spinal structures at patients with Сhiary malformation.
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Copyright (c) 2011 Albina Tretiakova, Eugene Slynko, Lidiya Chebotariova, Mochamed Kamel Razhaby
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