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CASE REPORT
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A common case with an unusual association: Chiari I malformation with holocord syrinx


 Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Sachin A Borkar,
Department of Neurosurgery, Room No. 720, Neurosciences Center, All India Institute of Medical Sciences, New Delhi 110 029
India
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Source of Support: None, Conflict of Interest: None

Authors are presenting a common case of Chiari malformation but with a very unusual associated finding, holocord syringomyelia, which responded to posterior fossa decompression. An 11-year-old male patient presented with progressive left hemiparesis and numbness on left half of the body for 4 years. Magnetic resonance imaging of the spine revealed peg-shaped herniation of tonsils 8 mm below the foramen magnum and holocord syringomyelia. No focal intraspinal mass was seen. Chiari I malformation with holocord syrinx was diagnosed. The patient underwent posterior fossa decompression with subpial resection of both tonsils with augmentation duraplasty. Post-operatively, patient improved clinically as well as radiologically.


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    -  Bansal S
    -  Borkar SA
    -  Mahapatra AK
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