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Forum Name: Surgery Topics

Question: Arnold-Chiari Malformation complication


 cristi_t - Mon May 17, 2004 1:49 pm

Hi,

Someone I knew had Arnold-Chiari malformation. He had surgery, then he died 18 days later. Doctors say it developed (viral) meningitis as a post-operatory complication.
We are trying to find out what happened, maybe someone is kind enough to give his/hers opinion, based on the information I give below.
I also included a link to his MRI scans.

Here is some information:

Diagnostic: Arnold-Chiary Malformation II, with hydrosyringo-myelia.
Sympthomps: Numbness of all left side of the body, hiccups, neck stiffness.
Age: 34

Surgery on April 1st 2004.

Post operatory conditions:

While in hospital, he had neck stiffness, strong headaches, very little remedy of numbness, temperature 38.3C.
April 9th: Externated.
April 11th: Seemed well (walked, ate), then temprorary left side paralysis. The next day, all of left side was paralized, involutary right hand movements, hiccups.
April 13th: Developed coma I.
April 15th: Developed coma IV with cardiac arrest. He was resuscitated.
April 18th: Brain death.

Here is a link to some of the MRI scans given to us by the doctors. The scans are from after the surgery.

http://www.medicalinfo.ro/info-mri/index.html

I am posting this hoping to get a cleared ideea to why this happened, any opinion is highly appreciated.


Best Regards,
Cristian Tota
 Dr. Russell M - Tue Jun 01, 2004 8:27 am

User avatar Hi!

I am sorry to be discussing posthumously regarding this disease. I am not a neurosurgeon, and hence can only discuss on what I have read. I am sure the doctors who did surgery on this patient would have had extensive discussions with you/kin regarding the disease prognosis, morbidity, and mortality in syringomyelia.

Postoperative infection is a surgical complication, which could underlie the worsening of the patient's condition. In a well-established neurosurgical unit, the incidence of infection as a surgical complication should be minimal.

Hope this helps.

bill

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