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http://dx.doi.org/10.1097/PHM.0000000000000368 | DOI Listing |
Pediatr Neurosurg
October 2024
Division of Neurosurgery, Children's Hospital of Orange County, Orange, California, USA.
Neurocirugia (Astur : Engl Ed)
November 2024
Department of Neurosurgery and Brain Repair, University of South Florida, Morsani College of Medicine, Tampa, Florida, USA. Electronic address:
Chiari malformations (CM) are often diagnosed in childhood and younger adults, with an incidence of only 0.77% in adult populations. Patients with CM may develop syringomyelia and increased intracranial pressure (ICP) due to cerebrospinal fluid (CSF) obstruction and altered fluid dynamics at the cervicomedullary junction.
View Article and Find Full Text PDFCureus
March 2024
Radiodiagnosis, Narendra Kumar Prasadrao (NKP) Salve Institute of Medical Sciences and Research Centre, Nagpur, IND.
A Chiari I malformation is a frequently encountered anomaly of the posterior fossa, occurring in a notable percentage of the population. It often coexists with various other craniovertebral junction abnormalities, albeit less frequently with Klippel-Feil syndrome. Interestingly, the majority of individuals with Chiari I malformation do not exhibit any symptoms.
View Article and Find Full Text PDFNeurospine
June 2023
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Objective: The surgical management of basilar invagination without atlantoaxial dislocation (type B basilar invagination) remains controversial. Hence, we have reported the use of posterior intra-articular C1-2 facet distraction, fixation, and cantilever technique versus foramen magnum decompression in treating type B basilar invagination as well as the results and surgical indications for this procedure.
Methods: This was a single-center retrospective cohort study.
Front Surg
May 2023
Neurosurgery Depertmant, School of Medicine, Ataturk University, Erzurum, Türkiye.
Introduction: Chiari malformation type 1 (CM1), a complex pathological developmental disorder of the craniovertebral junction, is typically characterized by herniation of the cerebellar tonsils from the foramen magnum. Treatment using posterior fossa decompression alone without taking the ventral cervico-medullary compression into consideration may lead to unsatisfactory treatment outcomes. The current study evaluated the utility of the modified clivoaxial angle (MCAA) in assessing ventral compression and also examined its effect on treatment outcomes.
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