Fully endoscopic posterior fossa decompression for Chiari malformation type I: illustrative case
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Daniel Staribacher1, Guenther C Feigl1,2,3, Gavin Britz3
11Department of Neurosurgery, General Hospital Bamberg, Bamberg, Germany.
Background:
Surgery for symptomatic Arnold-Chiari malformation type I involves posterior fossa decompression. There are various approaches, including endoscope-assisted ones. New possibilities and fields of application of fully endoscopic techniques are currently being developed since new and advanced endoscopic equipment and instrumentation are available.
Observations:
The authors describe the case of a fully endoscopic microsurgical procedure in a 30-year-old female patient with progressive vertigo who was diagnosed with Chiari malformation type I. Neuronavigation and neuromonitoring were used during the surgery.
Lessons:
Fully endoscopic surgery can be successfully performed in patients with Chiari malformation I. Intraoperative neuromonitoring and neuronavigation increase safety during this procedure.
