title: A rare course of scoliosis associated with Chiari malformation and syringomyelia.
abstract: Spinal deformity is an important clinical manifestation of Chiari I malformation (CM-I) and syringomyelia. Here we report the result of an 8-year follow-up of a 13-year-old girl with severe scoliosis associated with Chiari malformation and a large syringomyelia. The patient presented at our hospital at the age of 13 with a 68° scoliosis. Magnetic resonance imaging showed Chiari malformation and a large syringomyelia. Neurosurgical treatment involved foramen magnum decompression and partial C1 laminectomy, but the scoliosis still progressed. We present the first case report of a rare course of scoliosis in a patient with CM-I and a large syringomyelia.
authors.affiliation: Department of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.tanakam@md.okayama-u.ac.jp.
authors.forename: Masato
authors.initials: M
authors.lastname: Tanaka
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Sugimoto
authors.forename: Shinya
authors.initials: S
authors.lastname: Arataki
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Takigawa
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Ozaki
mesh_terms: D001139:Arnold-Chiari Malformation / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery*; D015897:Comorbidity; D019299:Decompression, Surgical; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery*; D013595:Syringomyelia / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult