Division Of Neurosurgery - Childrens Hospital Los Angeles A case in point is Chiari malformation and hydrosyringomyelia. Patients oftenpresent in the pediatric age group with scoliosis, but routine screening by http://www.childrenshospitalla.org/11094.cfm
Extractions: The Division of Neurosurgery at Childrens Hospital Los Angeles is among the nations busiest pediatric programs, with about 800 surgical procedures and 4,000 outpatients each year. About half of all pediatric neurosurgical operations in Los Angeles County take place in this division, whose patients range from newborns to young adults. The volume of cases contributes to successful treatment, with surgeons routinely confronting complex neurological conditions. In addition to board-certified neurosurgeons, the medical staff encompasses neurologists, neuroradiologists, neuropathologists, neuro-oncologists, neuro-ophthalmologists, radiation therapists, psychologists, rehabilitation therapists, and clinical nurse specialists. Childrens Hospital Los Angeles operates the only Level I Trauma Center in Los Angeles solely for children. As a result, Division neurosurgeons are well versed in caring for severely injured children and have pioneered new therapies that are improving surgical outcomes. Optimal treatment of brain tumors requires a sophisticated, coordinated multidisciplinary treatment approach. Our expert team of specialists includes neurosurgeons, neurologists, neuroradiologists, neuropathologists, neuro-oncologists, neuro-ophthalmologists, radiation therapists, psychologists, rehabilitation therapists and clinical nurse specialists. Each year, Division surgeons perform about 100 operations for tumors on the brain or spine. Our patients receive excellent post-operative care within the Pediatric Intensive Care Unit. Armed with the latest technical equipment, the Division provides advanced surgical solutions, with outcome statistics that match or exceed any other program in the United States and beyond.
Chiari I Malformation hydrosyringomyelia a fluid cavity in the spinal cord. May also be referred toas syrinx, or syringomyelia. (Link to syringomyelia page) http://www.surgery.missouri.edu/departments/neuro/chiari/chiariglossary.htm
Extractions: The Chiari Clinic Mission Who We Are Location ... Glossary Apnea: to stop breathing intermittently, often due to compression on the brainstem or lower cranial nerves Arachnoid: the closest membrane covering the brain, appears to resemble a spider web. There are 3 layers of covering of the brain and spinal cord- the dura, arachnoid and pia. Arachnoiditis: inflammation of the arachnoid Aspirate: inhaling fluids into the lungs. Inability to swallow properly, thereby allowing fluid into the lungs. Asymptomatic: without symptoms. Someone who has no symptoms that can be attributed to a disorder. Ataxia: inability to coordinate movement. Stumbling when walking, or inability to maintain a fluid gait when asked to walk a straight line. Atrophy: wasting away of the muscle, often due to lack of use or inability to exercise a muscle. Atrophic: changes in the muscle that create an appearance of being wasted away Basilar Invagination: the base of the skull and the first cervical vertebra dent inward, causing pressure on the brainstem or upper cervical spinal cord. Catheter: small, soft plastic tube used to drain fluid. A foley catheter is often inserted into the bladder for surgey. A shunt catheter can be inserted into a syrinx or the ventricles.
The World Arnold Chiari Malformation Association Hydromyelia, or hydrosyringomyelia is frequently associated with the Chiari Imalformation of the cerebellar tonsils. Descent of the cerebellar tonsils is http://www.pressenter.com/~wacma/acquired.htm
Extractions: Department of Neurosurgery, Kyushu University, Fukuoka, Japan. The authors report a case of bilateral chronic subdural hematoma in a 25-year-old woman who had occipital and neck pain. Magnetic resonance imaging revealed progressive caudal descent of the cerebellar tonsils (acquired Chiari I malformation) and a large eccentric syrinx in the spinal cord from the C3-T7 levels. Spontaneous disappearance of the chronic subdural hematomas resulted in radiographic resolution of both lesions, as well as clinical improvement. Theories of syringomyelia formation, the relationship to acquired Chiari I malformation, and the implications of this case are discussed. 2. J Neurosurg 1998 Feb;88(2):237-242
Keck School Of Medicine Of USC One is that of the Chiari malformation and hydrosyringomyelia. The patients oftenpresent in the pediatric age group with scoliosis. http://www.usc.edu/schools/medicine/departments/neurological_surgery/clinical/pe
Extractions: var last_modified = "Saturday, March 01, 2003"; Directories Maps Contact Site Index ... Research Pediatric Neurosurgery The USC Division of Pediatric Neurosurgery is based at Childrens Hospital Los Angeles. UCMG physicians within the Division of Neurological Surgery provide comprehensive services to pediatric patients with conditions requiring neurosurgical care. In addition to the Division of Neurological Surgery office adjacent to CHLA in the Queen of Angels/Hollywood Presbyterian Doctors Tower, patients are also seen at the UCMG office in Encino, an office adjacent to Huntington Memorial Hospital in Pasadena, and at Shriner's Hospital.
Health, Conditions And Diseases, H Disease@ (28); Hydranecephaly@ (6); Hydrocele@ (2); Hydrocephalus@ (55);hydrosyringomyelia@ (5); Hyperhidrosis@ (28); Hyperhomocysteinemia http://www.klevze.si/browse/Health/Conditions_and_Diseases/H/
Dominion Web Directory : Health : Conditions_and_Diseases : H 2); Hydrocephalus@ (52); hydrosyringomyelia@ (5); Hyperhidrosis@ (27);Hyperhomocysteinemia@ (3); Hyperinsulinemia@ (21); Hyperlexia@ (7 http://directory.dominion-web.com/Top/Health/Conditions_and_Diseases/H
Uhrad.com - Neuroradiology Imaging Teaching Files Other CNS abnormalities that are associated are hydrocephalus (80%), corpuscallosum agenesis, hydrosyringomyelia, and diastematomyelia. http://www.uhrad.com/mriarc/mri015.htm
Extractions: Click on Images for Enlarged View Clinical History: Midline lumbar defect, present at birth. Radiologic Findings: Myelomeningocele of lumbar spine, with neural placode present posterior to enlarged thecal sac. Ventral nerve roots course through CSF-filled sac to exit neural foramina. Tethered spinal cord. Diagnosis: Myelomeningocele of lumbar spine. Discussion: A myelomeningocele is a neural tube closure defect. The embryonic neural folds fail to flex and fuse into a tube, which persists as a flat plate, the neural placode. The superficial ectoderm does not disjoin from the neural ectoderm, remaining in a lateral position. Thus the neural placode is not covered with skin. The spinal cord remains tethered to the lesion. Spinal dysraphism is present, usually extending over 4-6 vertebral levels. Most myelomeningoceles are lumbar, with 70% present below L2. A myelomeningocele contains nerve roots, and spinal cord within a thecal sac, with herniation through the dysraphic spine, causing the neural placode to be elevated and everted. This differentiates this lesion from a meningocele which contains no neural tissue, and the neural placode remains flush with the surface. A Chiari II malformation is present with virtually 100% of myelomeningoceles. Other CNS abnormalities that are associated are hydrocephalus (80%), corpus callosum agenesis, hydrosyringomyelia, and diastematomyelia. Non-CNS abnormalities include other vertebral malformations, hip deformities, and bladder/bowel dysfunction.
Tethered Cord hydrosyringomyelia (the presence of longitudinally orientated CSFfilled hydrosyringomyelia results in entry of cerebral spinal fluid (CSF) into the http://members.cox.net/dlayres1/Tethered Cord.htm
Extractions: Tethered cord syndrome is related to the tendency for the spinal cord to adhere to the myelomeningocele repair and prevent the normal movement of the cord during growth. Symptoms can include pain, sensory changes, spasticity, and progressive scoliosis. Surgical release is performed to attempt to return to previous level of function and prevent further loss. Similar symptoms caused by other intraspinal pathologies (e.g., mass lesions of the cord, cord cavitation and narrowing, adhesions, dural bands). Hydrosyringomyelia (the presence of longitudinally orientated CSF-filled cavities within the spinal cord) is caused by hydrocephalus. Hydrosyringomyelia results in entry of cerebral spinal fluid (CSF) into the central canal of the spinal cord, causing dilatation and pressure (Iskandar, 2000). Danny L. Ayres This page is a compilation of information and resources intended to be a service to parents of children
UCMG - Neurosurgery One is Chiari malformation and hydrosyringomyelia. Patients often present in thepediatric age group with scoliosis. Routine screening by orthopaedic http://www.ucmg.org/special/neurosurgery_frame.html
Extractions: UCMG physicians within the Division of Neurosurgery provide comprehensive services to patients with conditions requiring neurosurgical care. In addition to the UCMG Division of Neurosurgery office adjacent to CHLA in the Queen of Angels/Hollywood Presbyterian Doctors Tower, patients are also seen at an office adjacent to Huntington Memorial Hospital in Pasadena and at the Shriner's Hospital. Modern imaging techniques have revolutionized our ability to diagnose and treat central nervous system (CNS) problems. This includes arachnoid cysts that can result in mass effect causing raised intracranial pressure or impairment of cerebral spinal fluid (CSF) pathways to produce hydrocephalus. UCMG neurosurgeons have extensive experience treating arachnoid cysts, not only of the brain but of the spinal cord as well. When possible, we try to treat the cyst with fenestration before resorting to CSF diversion by shunting techniques. UCMG neurosurgeons have extensive experience treating children with neurosurgically related problems associated with neurofibromatosis, tuberous sclerosis, Sterge-Weber disease, von Hippel-Lindau and the less common forms of the phakomatosis. All of the other pediatric specialties services are available to treat other conditions associated with these disorders such as genetics, orthopaedics, neurology, etc.
Spina Bifida Association: Breningstall GN, Marker SM, and Tubman DE hydrosyringomyelia and DiastemmatomyeliaDetected by MRI in Myelomeningocele. Pediatr Neurol 8(4) 267, 1992. http://www.sbaa.org/site/PageServer?pagename=fs_hip
Extractions: Submit a response Alert me when this article is cited Alert me when Correspondence are posted ... Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Olson, D. M. Articles by Milstein, J. M. DM Olson and JM Milstein Department of Pediatrics, University of Washington, Seattle. A 16-year-old male with a 9-year history of spontaneously arrested hydrocephalus was noted to have hydrosyringomyelia and increased intracranial pressure shortly after sustaining minor head trauma. His symptoms resolved completely following ventriculoperitoneal shunt replacement. Hydrosyringomyelia may occur in the setting of long-standing, apparently arrested hydrocephalus.
ASBAH Past And Current Sponsored Research Projects THE Chiari / hydrosyringomyelia complex is a combination of features includingthe Chiari malformations, syringomyelia and hydromyelia, which affect some http://www.asbah.org/Research/Research Projects.html
MUMS List Of Disorders - H Hydrocephalus, Exvacuo (1) Hydromyelia (excess fluid in central spinal cord) (2);Hydronephrosis (44) *; hydrosyringomyelia ArnoldChiari (1) http://www.netnet.net/mums/mum_h.htm
Neuroradiology Interesting Case Of The Month Benign hydrosyringomyelia (no mural nodule). REFERENCES. Barkovich, AJ.Pediatric Neuroradiology 2nd Ed. Raven Press, Inc, New York, 1995. http://www.neurorad.ucsf.edu/previouscases/12s1s1998/
Extractions: December 1998 Case of the Month SPINAL CORD HEMANGIOBLASTOMA SUMMARY: INCIDENCE: ETIOLOGY/ASSOCIATIONS: von Hippel-Lindau. germline mutations of the VHL tumor suppressor gene located on chromosome 3p25. CLINICAL: -If have VHL the retinal or cerebellar involvement usually precedes the spinal cord symptoms. PATHOLOGY: -Solid components composed of thinned walled vessels and capillaries and may be intensely hemorrhagic. -Since originates from brain always connected to a pial surface. RADIOLOGY intradural. Angio highly vascular mural nodule demonstrating prolonged vascular stain. -May see staining along the entire rim of the cyst. -AV shunting and or early draining veins. CT: which peripheral mural nodule that homogenously enhances. -Solid hemangioblastomas are isodense and will demonstrate intense homogenous enhancement on CECT. MR: on T1. -Mural nodule variable -Nodule homogenously enhances post Gad. -May get rim like enhancement of cyst. -Can see flow voids surrounding this lesion. -Phase contrast study may help improve demonstrating vascular supply/drainage. Rx: -Pre-op angiography +/- embolization with PVA the majority of primary and recurrent hemangioblastomas, can treat multiple lesions (VHL).
Extractions: Vol Page [Advanced] This Article Extract Submit a response Alert me when this article is cited Alert me when eLetters are posted ... Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by NOGUES;, M. Articles by HAVERKAMP, F. Related Collections Other Neurology J Neurol Neurosurg Psychiatry 805-806 ( November ) Repeated syncopes and extended paediatric hydrosyringomyelia/Chiari I malformation Reply to letter I have read with interest the letter recently published on Repeated syncopes and extended paediatric hydrosyringomyelia/Chiari I malformation The case reported is quite unusual, as syncope
