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Chiari malformation treatment with cerebellum tonsillectomy

Chiari malformation treatment with cerebellum tonsillectomy
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Media Files
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Overview

Type of care

Inpatient

Method

Surgical

About the offer

The tonsils of the cerebellum act like a cork that is tightly pressed into the upper spinal canal, causing compression. In some cases, removing these tonsils (cerebellum tonsillectomy) can eliminate this compression and improve the flow of cerebrospinal fluid. Therefore, the procedure is sometimes used for Chiari malformation treatment in selected patients. Before the procedure begins, the patient is given general anesthesia and positioned on his stomach. His head is securely held in place with a rigid bracket. The size of the skull opening differs depending on the patient's age. However, it should align with the maximum width of the cerebellum's tonsils. Once this is done, a cervical laminectomy is performed, which should extend up to the top of the cerebellum's tonsils. Usually, this can be achieved by resectioning the posterior arch of the first and second cervical vertebrae. The surgeon uses special scissors to make a Y-shaped incision in the dura mater, then removes the cerebellum's tonsils using an ultrasonic scalpel. The extent of the tonsil removal depends on how much they have changed. Next, the wound is closed using non-absorbable suture material, and the skin is sewn up with a cosmetic intradermal suture. Finally, an aseptic bandage is applied to the operation area.

What’s included

Medical service

Examination
  • clinical history-taking
  • medical records review
  • physical examination
  • consultation with a neurosurgeon
  • consultation with an anesthesiologist
Laboratory tests
  • complete blood count (CBC)
  • blood type test (ABO, Rh)
  • biochemical analysis of blood (kidney and liver function tests, electrolytes, glucose, lipid panel)
  • inflammation blood tests
  • coagulation studies
  • urinalysis
Diagnosis
  • neurological examination
  • MRI scan of the head
  • electrocardiogram (ECG)
  • chest X-ray
Treatment
  • preoperative patient preparation
  • cerebellum tonsillectomy surgery under neuronavigation
  • postoperative care
  • symptomatic treatment
Other
  • cost of essential medicines
  • cost of essential materials
  • general anesthesia
  • hospitalization
  • nursing service
  • discharge medical records
  • further recommendations

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FAQ

How long does the offer take?

The offer is designed for 14 days.

Does the offer require you to stay in the clinic overnight?

Where can I see the media files?

What are the age restrictions?

The offer is eligible for both adults and kids.

Can I customize the content of the offer?

Yes, the components of the deal can be changed. Get in touch with a vendor to create a personalized proposal.

Individual cost estimate. Non-binding 100% free assessment.

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