Surgical Management of Chiari Malformation: Analysis of 128 Cases

@article{Guo2007SurgicalMO,
  title={Surgical Management of Chiari Malformation: Analysis of 128 Cases},
  author={Fuyou Guo and Meiyun Wang and Jiang Long and Hua Wang and Hongwei Sun and Bo Yang and Lai-jun Song},
  journal={Pediatric Neurosurgery},
  year={2007},
  volume={43},
  pages={375 - 381}
}
Objective: A variety of surgical interventions have been recommended for patients with Chiari malformations (CMs). In this study, we have evaluated the intraoperative findings and clinical outcome in different-aged patients with CMs undergoing posterior fossa decompression. Methods: Sixteen pediatric and 112 adult cases with CMs underwent suboccipital craniectomy and wide duraplasty as well as autogenous bone grafting in selected cases. The clinical outcome was assessed by evaluation of… 
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Outcomes for the Surgical Management of Chiari I and Chiari II Malformations
TLDR
Clinical outcomes following the operative management of Chiari I and II malformations have improved dramatically since these congenital disorders were first recognized as surgical diseases, and the current trend of less invasive bone-only surgical approaches, if shown in larger prospective trials to be superior to traditional decompressions with dural opening, will only add to the modern-day neurosurgeon’s ability to achieve excellent clinical outcomes with minimal risk.
Surgical treatment of Chiari I malformation--analysis of intraoperative findings, complications, and outcome for 371 foramen magnum decompressions.
TLDR
Arachnoid pathology in Chiari I malformation has an impact on clinical symptoms and postoperative results and decompressions performed by surgeons experienced with this pathology offer a favorable long-term prognosis.
Surgical management of symptomatic Chiari II malformation in infants and children
TLDR
It is suggested that bony CIIM decompression via tailored cervical laminectomies alone, without suboccipital craniectomy or upfront dural augmentation, is a reasonable initial management approach for decompression of symptomatic CIIM.
Pediatric and adult Chiari malformation Type I surgical series 1965-2013: a review of demographics, operative treatment, and outcomes.
TLDR
Before undergoing surgical treatment for CM-I, symptomatic patients and their families should be given clear information about the success of treatment and potential complications, and surgeons may benefit from comparing published data with their own.
Chiari malformation Type I and syrinx in children undergoing magnetic resonance imaging.
TLDR
The age-related prevalence and MR imaging characteristics of Chiari malformation Type I and its association with a syrinx and other abnormalities in a large group of children who underwent MR imaging for any indication are described.
Chiari malformation: are children little adults?
TLDR
Pediatric Chiari management must consider the effect of development, increased activity, and a longer life course on the decision to surgically treat, however, little is known about predicting the natural history of Chiari in the young.
Chiari I malformation with and without basilar invagination: a comparative study.
TLDR
The great majority of patients with Chiari I malformations with or without basilar invagination report postoperative improvements with this management algorithm, and results for ventral and posterior fusions for degenerative disc diseases in these patients indicated a trend for better long-term results with posterior operations.
High long-term symptomatic recurrence rates after Chiari-1 decompression without dural opening: A single center experience
Chiari I malformation with acute neurological deficit after craniocervical trauma: Case report, imaging, and anatomic considerations
TLDR
MRI has not yet been able to clearly define the underlying pathoanatomy, help understand the mechanism of injury, and delineate when operative intervention is indicated in patients with CMI to help clarify these questions.
Pseudomeningocele formation following chiari decompression: 19-year retrospective review of predisposing and prognostic factors
TLDR
A statistically significant relationship exists between age and sealant use and the risk of developing a postoperative pseudomeningocele and this information can aide in preoperative planning and patient selection.
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