title: [Autonomic nervous system disorders in 230 cases of basilar impression and Arnold-Chiari deformity].
abstract: Within the period of 1971 to 1989 we operated on 230 cases of craniocervical malformations characterised by 189 cases of basilar impression associated with Arnold-chiari malformation, 28 cases of isolated basilar impression and 13 cases of Arnold-Chiari malformation. Autonomic disturbance was observed in 136 (59.1%) cases: sexual disorders like reduced potency and impotency were observed in 86 (60.9%) out of 141 male patients, urinary symptoms in 39 (17%) patients; and other autonomic features like dyspnea, anhidrosis, hyperhidrosis, Claude Bernard-Horner syndrome and constipation in 41 (17.8%) patients.
authors.affiliation: Neurochirurgische Klinik, Universität Paraíba in João Pessoa, Brasilien.
authors.forename: J A
authors.initials: JA
authors.lastname: da Silva
authors.forename: J C
authors.initials: JC
authors.lastname: Brito
authors.forename: P V
authors.initials: PV
authors.lastname: da Nóbrega
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001139:Arnold-Chiari Malformation / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D001341:Autonomic Nervous System / Q000503:physiopathology; D001342:Autonomic Nervous System Diseases / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003399:Craniotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007796:Laminectomy; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D010985:Platybasia / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology
vernacular_title: Neurovegetative Störungen bei 230 Fällen basilärer Impression und Arnold-Chiarischer Missbildung.