Acute respiratory arrest following partial suboccipital cranioplasty for cerebellar ptosis from Chiari malformation decompression.
Cerebellar ptosis is a rare complication following Chiari malformation decompression, and generally is the result of a very large suboccipital craniectomy. This can lead to the descent of the cerebellum through the craniectomy defect, which in turn may result in cerebellar herniation through the surgical defect as well as the reestablishment of contact between the cerebellar tonsils and the brainstem. In addition, dorsal adherence of the herniated cerebellum to the dura mater or dural patch and an associated obstruction of cerebrospinal fluid flow at the cervicomedullary junction may ensue. Such a result is not desirable, in that it reproduces or mimics the pathoanatomical relationships that existed prior to the surgical decompression.
Di
Xiao
X
Section of Pediatric and Congenital Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA. dix@ccf.org
Luciano
Mark G
MG
Benzel
Edward C
EC
D000368:Aged; D001139:Arnold-Chiari Malformation / Q000473:pathology / Q000601:surgery*; D002526:Cerebellar Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D003399:Craniotomy / Q000009:adverse effects; D019299:Decompression, Surgical / Q000009:adverse effects*; D005260:Female; D006732:Horner Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D020366:Methylmethacrylate / Q000008:administration & dosage / Q000009:adverse effects; D008875:Middle Aged; D009777:Occipital Bone / Q000473:pathology / Q000601:surgery*; D012128:Respiratory Distress Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy
D020366:Methylmethacrylate