Chiari Malformations: Diagnosis, Treatments and Failures-Ulrich Batzdorf, MD, FAANS Video

Video Transcription

Video Summary

The video discusses complications related to the diagnosis and surgery of adult patients with Chiari malformation, with a focus on avoiding them. Acute complications include aseptic meningitis, spinal fluid leakage, reaction to durograft, and acute hydrocephalus. Aseptic meningitis is the most common complication when the dura has been opened, usually due to blood in the subarachnoid space. Cerebrospinal fluid leakage is the most common complication of posterior fossa decompression and can be caused by the choice of material used for duroplasty. Pseudomeningoceles can also result from spinal fluid leakage and may require correction. Other complications discussed include cerebellar ptosis, dural ectasia, and symptoms related to instability. The video emphasizes the importance of proper assessment and treatment planning, including considerations for pseudotumor cerebri, low insertion of the tentorium, tethered cord, and complex Chiari patients. Surgical techniques and interventions are also described for different complications. The video concludes by highlighting the importance of selecting appropriate patients to minimize complications. Unfortunately, no specific credits were mentioned in the transcript.

Keywords

complications

diagnosis

surgery

Chiari malformation

aseptic meningitis

spinal fluid leakage