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Basilar impression associated with impacted cisterna magna, spastic paraparesis and distress of balance: case report

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Author(s): Gonçalves da Silva José Alberto | Holanda Maurus Marques de Almeida | Leiros Maria do Desterro | Melo Luiz Ricardo Santiago | Araújo Antônio Fernandes de | Almeida Everardo Bandeira de

Journal: Arquivos de Neuro-Psiquiatria
ISSN 0004-282X

Volume: 64;
Issue: 3A;
Start page: 668;
Date: 2006;
Original page

Keywords: basilar impression | Chiari malformation | syringomyelia | posterior fossa decompression | tight cisterna magna

ABSTRACT
We report on a 48 years-old man with basilar impression without syringohydromyelia, in which the cisterna magna was impacted by the cerebellar tonsils. Six months after posterior fossa decompression there was the disappearance of nuchal rigidity, vertigo, spastic paraparesis and improvement of balance. Nevertheless hyperreflexia and diminished pallesthesia of the lower limbs persisted.

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