Review Article
Volume 12 Issue 11 - 2020
Basilar Invagination, Chiari Syndrome and Critical Compression of the Bulbomedullary Junction: Genesis and Pathophysiology of an Entity not Clearly Understood
José Vicente Vásconez1*, Xavier Sánchez Alarcón2 and Gisella Varas3
1Neurosurgery Service Hospital del Professor Santiago de Chile, Chile
2Orthopedics Service Hospital of the National Police Guayaquil, Ecuador
2Pediatric Service Hospital Roberto Gilbert Elizalde Guayaquil, Ecuador
*Corresponding Author: José Vicente Vásconez, Neurosurgery Service Hospital del Professor Santiago de Chile, Chile.
Received: August 28, 2020; Published: October 31, 2020




Abstract

Introduction: Basilar invagination is a complex malformation of the cranio-cervical junction where treatment consensus has not been reached and the therapeutic approach must be individualized according to the case and the associated anatomical variants. In the most serious cases, an adequate therapeutic approach can determine significant or total regression of neurological symptoms.

Objective: The objective of this review is to arrive at the analysis of the treatment algorithms based on an adequate understanding of the anatomy, anatomical variants and conceptualization as close as possible to the most correct diagnosis for the application of the best treatment method.

Methods: A bibliographic review of the main existing works on malformations of the craniocervical junction was carried out, placing emphasis on anatomical morphological, biomechanical and physiological and radiological diagnosis.

Conclusion: The adequate conceptualization and classification of the pathology allows the correct interpretation of the imaging findings and clinical findings as a reference framework for treatment. However, each patient has individual characteristics and the concept itself constitutes a continuum of malformations that must be resolved by different surgical routes, at different times if necessary and supported by different support technologies.

Keywords: Basilar Intussusception; Cranio-Cervical Bone Malformation

Keywords: Basilar Intussusception; Cranio-Cervical Bone Malformation

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Citation: Vladimir Kuznecov., et al. “Basilar Invagination, Chiari Syndrome and Critical Compression of the Bulbomedullary Junction: Genesis and Pathophysiology of an Entity not Clearly Understood”. EC Neurology 12.11 (2020): 112-118.

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