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Impacted cisterna magna without syringomyelia associated with spastic paraparesis: case report

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Author(s): Gonçalves da Silva José Alberto | Costa Maria do Desterro Leiros da | Holanda Maurus Marques de Almeida | Melo Luiz Ricardo Santiago | Araújo Antônio Fernandes Almeida de | Viana André Pachelli Bezerra

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

Volume: 64;
Issue: 3A;
Start page: 672;
Date: 2006;
Original page

Keywords: tight cisterna magna | impacted cisterna magna | Chiari malformation | posterior fossa decompression | spastic paraparesis

ABSTRACT
We report on a 49 year old man with impacted cisterna magna without the presence of syringohydromyelie (SM). The clinical picture was characterized by spastic paraparesis. Magnetic resonance imaging depicted a cisterna magna filled by the cerebellar tonsils. Six months after osteodural-neural decompression of the posterior fossa there was resolution of neurological symptoms and signs with the exception of hyperactive patellar and Achilles reflexes.

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