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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.31 no.4 São Paulo Dec. 1973

http://dx.doi.org/10.1590/S0004-282X1973000400002 

Tratamento cirúrgico da siringomielia pela Técnica de Gardner

 

Syringomyelia: its surgical treatment by Gardner's method. Report of four cases

 

 

Gilberto M. AlmeidaI; Eduardo BiancoII; Milton K. ShibataII; Luiz Alcides ManrezaIII; Antonio J. Tedesco MarcheseIII

IClínica Neurológica da Faculdade de Medicina da Universidade de São Paulo (Prof. Horacio M. Canelas) e da Clínica Neurocirúrgica do Hospital 9 de Julho (Prof. Gilberto Machado de Almeida): Livre Docente
IIClínica Neurológica da Faculdade de Medicina da Universidade de São Paulo (Prof. Horacio M. Canelas) e da Clínica Neurocirúrgica do Hospital 9 de Julho (Prof. Gilberto Machado de Almeida): Residentes
IIIClínica Neurológica da Faculdade de Medicina da Universidade de São Paulo (Prof. Horacio M. Canelas) e da Clínica Neurocirúrgica do Hospital 9 de Julho (Prof. Gilberto Machado de Almeida): Assistentes

 

 


RESUMO

O tratamento cirúrgico da siringomielia é, em geral, considerado decepcionante. Vários tipos de drenagem da cavidade siringomiélica não têm fornecido resultados satisfatórios. Gardner, em magnífica série de trabalhos, mostrou que a siringomielia e as várias malformações associadas à hidrocefalia têm fisiopatogenia única. Baseado em sua teoria, Gardner propôs, em 1958, o bloqueio da comunicação entre o IV ventrículo e o canal central da medula, para o tratamento da siringomielia. Esta técnica não tem sido realizada com muita freqüência. Empregamos o método proposto por Gardner em 4 pacientes, os quais melhoraram após a intervenção cirúrgica.


SUMMARY

The surgical treatment of syringomyelic patients is usually considered as deceptional. The drainage methods employed have resulted insatisfactory.
Gardner, in a classical series of papers, developed the "hydromyelic theory" to explain syringomyelia and others nervous system malformatins. Founded on his own theory he proposed the blockadge of the communication between the fourth ventricle and the central canal. We have employed this method on 4 patients, with satisfactory results.


 

 

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