Basilar impression associated with impacted cisterna magna, spastic paraparesis and distress of balance: case report.
We report on a 48 years-old man with basilar impression without syringohydromyelia, in which the cisterna magna was impacted by the cerebellar tonsils. Six months after posterior fossa decompression there was the disappearance of nuchal rigidity, vertigo, spastic paraparesis and improvement of balance. Nevertheless hyperreflexia and diminished pallesthesia of the lower limbs persisted.
Gonçalves da Silva
José Alberto
JA
Neurosurgical Unit, Hospital Santa Isabel, João Pessoa, PB, Brazil.
de Almeida Holanda
Maurus Marques
MM
do Desterro Leiros
Maria
M
Melo
Luiz Ricardo Santiago
LR
de Araújo
Antônio Fernandes
AF
de Almeida
Everardo Bandeira
EB
D001139:Arnold-Chiari Malformation / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002946:Cisterna Magna; D019299:Decompression, Surgical; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D020336:Paraparesis, Spastic / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D010985:Platybasia / Q000150:complications / Q000175:diagnosis* / Q000601:surgery