Selected Problems of the Patient after the Peak-occipital Decompression Surgery Treatment in the Course of the Chiari type I Malformation

Abstract

Introduction. The Chiari type I Malformation is a malformation of the hindbrain and skull. It refers to moving down the tonsils of the cerebellum through a large opening to the upper part of the spinal canal. Case Report. The patient aged 27 was subjected to a peak-occipital decompression procedure in the course of the Chiari type I Malformation due to the results of imaging examinations and reported complaints. Discussion. The neurosurgical treatment for both the patient and his family is a source of stress and fear of further functioning in the environment. During hospitalization, the patient should be surrounded by the care and interest of the therapeutic team members. Conclusions. Symptoms of Chiari Malformation type I may affect patients of different ages despite the fact that it is an inborn defect. Nursing care of the patient after the peak-occipital decompression treatment in the course of the Chiari type I Malformation aims at preventing typical complications of the postoperative period and minimizing the risk of neurological deficits. (JNNN 2018;7(3):124–129)