neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2017-0-1-109-114neurosurgery-424Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWСИРИНГОМИЕЛИЯ, АССОЦИИРОВАННАЯ С АНОМАЛИЕЙ КИАРИ I ТИПА (КЛИНИКА, ДИАГНОСТИКА, ЛЕЧЕНИЕ)Syringomyelia associated with Chiari malformation type I (clinical signs, diagnostics, treatment)ЗуевАндрей АлександровичZuevA. A.noemail@neicon.ruКостенкоГлеб ВладимировичKostenkoG. V.noemail@neicon.ruФедеральное государственное бюджетное учреждение «Национальный медико-хирургический центр им. Н.И. Пирогова»Россия20172411201701109114Copyright © Зуев А.А., Костенко Г.В., 20172017Зуев А.А., Костенко Г.В.Zuev A.A., Kostenko G.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/424

Цель: провести систематизированную оценку научных публикаций по проблеме сирингомиелии, ассоциированной с аномалией Киари I типа. Задачи: изучить и оценить эффективность различных подходов при лечении пациентов с сирингомиелией, ассоциированной с аномалией Киари I типа, на основании данных мировой литературы. Материалы и методы: найдено и проанализировано 586 статей по запросу «сирингомиелия и аномалия Киари I типа», с максимальным количеством наблюдений за последние 20 лет, с использованием PubMed и доступных средств поиска в интернете. Выводы: на основании проанализированной литературы проведена систематизированная оценка и изучена эффективность различных подходов при лечении сирингомиелии, ассоциированной с аномалией Киари I типа. Определена оптимальная тактика лечения пациентов, заключающаяся в своевременной, выполненной по показаниям и в полном объеме операции по декомпрессии задней черепной ямки, направленная на улучшение качества жизни и предотвращение инвалидизации пациентов.

Objective: to conduct the systematic review of published papers concerning syringomyelia associated with Chiari malformation type I as well as to examine and to assess the efficacy of various treatment strategies in patients with such pathology based of worldwide literature data. Material and methods: the source concerning «syringomyelia and Chiari malformation type I» against the accessible Internet databases including PubMed revealed 586 published papers with maximal numbers of clinical cases within the last 20 years. The analysis of these publications was performed. Conclusions: the systemic assessment was conducted and the efficacy of various treatment strategies for syringomyelia associated with Chiari malformation type I was examined based on analyzed literature data. The optimal treatment strategy for such patients was determined. This strategy includes well-timed decompression of posterior cranial fossa performed adequately upon indications and focused on improving of life quality and prevention of patients’ disability.

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The authors declare that there are no conflicts of interest present.