Dr. Neil Feldstein from the Pediatric Neurosurgery Center recently spoke at the Annual Meeting of the Congress of Neurological Surgeons. He was part of a panel of presenters on Surgical Management of Chiari and Syringomyelia. In particular he spoke about the management of Chiari I Malformations with non-dural opening techniques.
Based on the evidence, Dr. Feldstein recommended nondural opening for all patients except those with: Rapid progression of scoliosis with underlying syrinx; Rapid progression of neurologic dysfunction; Recurrence after nondural decompression WITHOUT bone regrowth; or for those likely to require posterior occipital-cervical fusion.
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