«Volume deficit» in lesions of the posterior cranial fossa with axial dislocation of the cerebellar tonsils
A.T. FAYZUTDINOVA
Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation 420064
Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation 420012
Fayzutdinova A.T. — Cand. Med. Sc., Associate Professor of the Department of Neurology and Rehabilitation, neurologist of the Clinical-Expertise Department, tel. +7-903-306-44-38, e-mail: aisluzab@mail.ru
The comparative analysis of volume indicators of the posterior cranial fossa lesions in groups of patients with the cerebellar tonsils dislocation caused by tumors and occipital hypoplasia was performed. Similar values of «volume deficit» of the posterior cranial fossa were identified both by absolute (20 and 30 ml) and relative (0.13 ml/cm of height) indicators. Comparability of these indicators may prove the existence of common stages in the pathogenesis of the cerebellar tonsils dislocation of different etiologies.
Key words: axial cerebellar dislocation, posterior cranial fossa, subtentorial tumors, Chiari malformation.
REFERENCES
1. Sidyakina I.V., Tsarenko S.V., Dobrushina O.R. et al. Predictive model estimates of mortality and functional recovery after severe and very severe stroke. Nevrol. zhurnal., 2012, no. 2, pp. 10-14 (in Russ.).
2. Meadows J., Kraut M., Guarnieri M. et al. Asymptomatic Chiari type I malformations identified on magnetic resonance imaging. J. Neurosurg., 2000, vol. 92, no. 6, pp. 920-926.
3. Gurajala I., Brahmaprasad V., Rajesh A. et al. Reverse brain herniation following ventriculoperitoneal shunt. Indian J. Anaesth., 2012, vol. 56 (6), pp. 585-587.
4. Milhorat T.H., Nishikawa M., Kula R.W., Dlugacz Y.D. Mechanisms of cerebellar tonsil herniation in patients with Chiari malformations as guide to clinical management. Acta Neurochir. (Wien), 2010, vol. 152, no. 7, pp. 1117-1127.
5. Zabbarova A.T., Bogdanov E.I. Syndrome “close” back cranial fossa and its associated neurological symptom. Kazanskiy meditsinskiy zhurnal, 2011, no. 6, pp. 890-896 (in Russ.).
6. Krylov V.V., Petrikov S.S., Belkin A.A. Lektsii po neyroreanimatsii [Lectures on neuroreanimation]. Moscow: Meditsina, 2009. 192 p.
7. Krylov V.V., Talypov A.E., Ioffe Yu.S. et al. Posterior fossa lesions (clinical picture, diagnosis, treatment). Neyrokhirurgiya, 1999, no. 1, pp. 4-13 (in Russ.).
8. Broderick J., Connolly S., Feldmann E. et al. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage in Adults: 2007 Update: A Guideline From the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Stroke, 2007, vol. 38, pp. 2001-2023.
9. Dyusheev B.D. Features the debut of posterior fossa tumors in elderly and senile. Ukr. neyrokh. zhurnal, 2000, no. 4, pp. 126-131 (in Russ.).