CENTAL AND NERVOUS SURGERY
What is cerebellar prolapse?
Cerebellar prolapse is a serious disease that occurs when the lower part of the cerebellum is displaced towards the spinal canal. Since it causes pressure on the nervous system, it can significantly affect the quality of life of patients. After the diagnosis, it is of great importance that patients actively participate in the treatment process and cooperate with their physicians.
How to detect prolapsed cerebellum?
Sagging cerebellum can often present with different symptoms such as abdominal pain, headache or neck pain. In some patients, it is detected by chance during random examinations.
Diagnosis sürecinde:
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Magnetic resonance (MR) monitoring
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Computed tomography when necessary
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Nörophysiologic tests
are used according to the clinicalâability.
The diagnosis may be delayed because some patients are referred to different specialties. This can cause the disease to progress.
What are the types of cerebellar prolapse?
Type 1:
It is the most common form. It often occurs in adulthood. Clinical signs may be mild or may increase over time.
Type 2:
It is associated with congenital brain and spinal cord anomalies. Symptoms appear at an earlier age.
Type 3:
It is rare. It is characterized by outward displacement of tissues at the back of the brain.
Type 4:
It occurs when the cerebellum is underdeveloped and is the most severe form.
Is the diagnosis difficult and is treatment necessary in all patients?
Not all cases of cerebellar prolapse require surgical treatment. Patients with mild complaints can be monitored at regular intervals. However, in case of progressive symptoms, severe pain, balance disorder, loss of strength or impaired fluid circulation, surgical treatment comes to the fore.
Surgical treatment in severe cases
In advanced cases, surgical treatment is used to reduce the pressure of the cerebellum on the nerve structures. This procedure is often called decompression surgery. The aim is to restore normal circulation of the cerebrospinal fluid.
In some patients:
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Hydrocephalus
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Shirinks formation
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Spinal cord compression
may be associated and surgical treatment becomes mandatory.
How is the postoperative period?
Patients can be followed up in intensive care for a short time after surgery. Most patients are ambulatory within a few days. Although the recovery period varies depending on the individual, the return to a normal life usually takes place within weeks.
