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[The clinical picture and course in basilar impression]
J Scharf1, F Hohagen, M Rittmann
1Neurologische Universitätsklinik.
Der Nervenarzt
|September 1, 1989
Summary
Basilar impression patients often present with long tract lesions, not classical signs. While a quarter showed deterioration, outcomes varied, with surgical results reported for a few.
Area of Science:
- Neurology
- Neurosurgery
- Clinical Medicine
Context:
- Review of 29 basilar impression cases treated since 1969.
- Follow-up reexamination of 12 patients.
- Analysis of clinical presentation and disease progression.
Purpose:
- To characterize the clinical features and outcomes of basilar impression.
- To evaluate the frequency of classical signs versus long tract lesions.
- To report on the results of surgical intervention in select cases.
Summary:
- Predominant symptoms included long tract lesions, with classical signs like headache and nystagmus being less frequent than anticipated.
- Only 25% of patients experienced marked deterioration during the follow-up period.
- Outcomes for four surgically treated patients are detailed.
Impact:
- Informs clinical diagnosis by highlighting less common presentations of basilar impression.
- Provides data on disease progression and the effectiveness of surgical treatment.
- Contributes to understanding the natural history and management of basilar impression.