Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With ChiariMalformation: Diagnosis Congress of Neurological Surgeons Systematic Review and Evid... : Neurosurgery Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With ChiariMalformation: Diagnosis : NeurosurgeryYou may be trying to access this site from : Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw in Neurosurgery. Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Export to End Note Procite Reference Manager Save my selection CNS Guidelines For Patients With ChiariMalformation
Morphological and ultrastructural investigation of the posterior atlanto-occipital membrane: Comparing children with Chiarimalformation type I and controls. The fibrous posterior atlanto-occipital membrane (PAOM) at the craniocervical junction is typically removed during decompression surgery for Chiarimalformation type I (CM-I); however, its importance and ultrastructural architecture have
Measurement of CSF flow and brain motion in Chiarimalformation type I subjects undergoing posterior fossa decompression surgery. Radiologically, Chiarimalformation type I (CM-I) is characterized by cerebellar tonsil herniation of at least 5 mm through the foramen magnum. In symptomatic cases, posterior fossa decompression (PFD) surgery is often performed and improves symptoms in approximately
ChiariMalformation: Diagnosis, Classifications, Natural History, and Conservative Management. WFNS Spine Committee Recommendations. A comprehensive search was conducted in PubMed/EMBASE/MEDLINE databases. Inclusion criteria included publications between January 2011 and December 2022 on CM diagnosis classification, natural history, and conservative management. This study aims to offer an update on diagnosis classifications, natural history, and conservative management in ChiariMalformation (CM). ChiariMalformation type 1 involves cerebellar tonsil herniation leading to neurological symptoms. There is controversy regarding its pathophysiology and optimal management, especially for asymptomatic cases. Previous research has focused on surgical outcomes with limited consensus on conservative
Pediatric ChiariMalformation Management: WFNS Spine Committee Recommendations. A systematic literature review and consensus using Delphi method. This review aims to provide an overview on Chiarimalformation in pediatric patients, highlighting the specific clinical manifestations and surgical treatment options. Chiarimalformation in children presents a real difficulty to the general neurosurgeon because children are not smaller adults. In the absence of pediatric neurosurgeons, as in many countries of the world, a need for education of general neurosurgeons on the management of Chiarimalformation in children was identified. The authors carried out an extensive review of the literature in PubMed database of the last 10 years addressing the topic of Chiarimalformation in children
Indications for Surgery and Surgical Options in ChiariMalformation: WFNS Spine Committee Recommendations. A systematic literature review and consensus using Delphi method. This review aims to create recommendations on the surgical indications and approaches to treat ChiariMalformation (CM) with or without syringomyelia. Despite the growing body of knowledge on CM, there are diverse
Predecompression and postdecompression cognitive and affective changes in Chiarimalformation type I. The role of the cerebellum in cognitive function and psychiatric symptoms is poorly understood and particularly understudied in patients with cerebellar pathologies such as Chiarimalformation type I (CM-I). Additionally, it is unclear if interventions targeted toward the cerebellum might impact
Building consensus regarding the definition of abnormal craniocervical motion in pediatric patients with Chiarimalformation: a modified Delphi study. Abnormal craniocervical motion (ACCM) in the setting of pediatric Chiari type 1 and 1.5 malformation (CM-1/1.5) is generally regarded to be uncommon. The focus of this modified Delphi study was to investigate and build consensus regarding
Prevalence of Chiarimalformation type 1 is increased in pseudohypoparathyroidism type 1A and associated with aberrant bone development. Albright hereditary osteodystrophy (AHO) is caused by heterozygous inactivating mutations in GNAS. Patients with maternally-inherited mutations develop pseudohypoparathyroidism type 1A (PHP1A) with multi-hormone resistance and aberrant craniofacial and skeletal development among other abnormalities. Chiarimalformation type 1 (CM1), a condition in which brain tissue extends into the spinal canal when the skull is too small, has been reported in isolated cases of PHP1A. It has been hypothesized to be associated with growth hormone (GH) deficiency. Given the adverse clinical sequelae that can occur if CM1 goes unrecognized, we investigated the previously
Revisiting the factor structure of the Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2): Evidence for a bifactor model in individuals with Chiarimalformation. The Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2; Dworkin et al., 2009) is intended to measure the multidimensional qualities of pain (i.e., continuous, intermittent, neuropathic, and affective) as well as total pain. Using structural equation modeling, we evaluated the fit of four competing measurement models of the SF-MPQ-2-an oblique 4-factor model, a 1-factor model, a higher-order model, and a bifactor model-in 552 adults diagnosed with Chiarimalformation, a chronic health condition whose primary symptoms include head and neck pain. Results revealed the strongest support for the bifactor model, suggesting that SF-MPQ-2 item
The utility of poly(somno)graphy in evaluating children with Chiarimalformation type II before and after surgical intervention: a case series. Children with ChiariMalformation type II (CM-II) have an increased risk of sleep apnoea. The aim of the study was to describe the management of patients with CM-II in relation to sleep apnoea syndrome, clinical symptoms and magnetic resonance imaging
Successful spinal cord stimulation using fast-acting sub-perception therapy for postoperative neuropathic pain of syringomyelia with Chiarimalformation type 1: a case report and literature review. Central neuropathic pain after foramen magnum decompression (FMD) for Chiarimalformation type 1 (CM-1) with syringomyelia can be residual and refractory. Here we present a case of refractory central
A comparative analysis of neuroendoscopic foramen magnum decompression versus traditional open surgery for ChiariMalformation Type I. ChiariMalformation Type I (CM1) is characterized by the downward displacement of the cerebellar tonsils below the foramen magnum. The standard surgical treatment for CM1 is foramen magnum decompression and atlas laminectomy (FMD-AL). However, there is a growing
Chiarimalformation type I and craniosynostosis in adults: Retrospective analysis over a 10 year period in a tertiary care Centre. Chiarimalformation type 1 (CM1) pathophysiology remains uncertain. One theory involves small posterior fossa volumes leading to tonsillar herniation. Craniosynostosis causes suture fusion, which can limit skull growth, and has been investigated in paediatric CM1
Pain-depression relationship, quality of life and acceptance of illness among patients with Chiarimalformation type I: A cross-sectional study. Chiarimalformation type I (CM-I) is a congenital anomaly of the hindbrain. The most common symptoms include suboccipital tussive headache, dizziness and neck pain. Recently there has been growing interest in the psychological and psychiatric aspects
Effects of Two Exercise Regimes on Patients with ChiariMalformation Type 1: a Randomized Controlled Trial. This study aims to measure the effects of two different exercise programs on neck pain, proprioception, balance, coordination, posture, and quality of life in patients with Chiarimalformation (CM) type 1. Sixteen patients were randomized to two different exercise programs: a tailored
The prevalence of Chiarimalformation among children with persistent dysphagia. Brain imaging has been utilized as a diagnostic tool in the workup of persistent pediatric dysphagia, yet the indications for imaging and the prevalence of Chiarimalformation (CM) have not been established. to evaluate the prevalence of CM anomalies in children who underwent brain magnetic resonance imaging (MRI
Delayed post-operative aggravation of sleep related disturbances in patients of basilar invagination with Chiarimalformation: case report and review of the literature. Sleep apnoea is common in patients with Basilar Invagination with Arnorld ChiariMalformation (ACM). Various studies have shown its incidence in the range of 60-70% among such patients. Most of the studies have shown improvement in sleep disturbances after decompressive surgeries for ChiariMalformations. There is no report of postoperative deterioration due to sleep apnoea in these patients. Authors report two cases of basilar invagination associated with ACM and Platybasia, who deteriorated probably due to worsening of pre-existing sleep disorders on 3rd and 7th postoperative days after their surgeries, despite clinico
Foramen magnum decompression for Chiarimalformation type I - UK surgical practice. Symptomatic Chiari 1 malformation (CM1) is a common condition in Neurosurgery. Surgery involves hindbrain decompression and restoration of CSF flow through different surgical approaches. No Class 1 evidence exists to suggest the superiority of any of the surgical techniques. To investigate current surgical
Posterior fossa morphometry in 170 South Asian children and adults with Chiarimalformation and its correlation with tonsillar descent. Patients with Chiari I malformations (CM1) have posterior fossa hypoplasia with crowding of the neural structures. We aimed to study the posterior fossa measurements to analyse the posterior fossa morphology, presence of basilar invagination (BI) and correlated