The complex Chiari: issues and management strategies

  title={The complex Chiari: issues and management strategies},
  author={Douglas L. Brockmeyer},
  journal={Neurological Sciences},
“Complex Chiari” malformations may be defined as cerebellar tonsil herniation combined with one or more of the following radiographic findings: brainstem herniation through the foramen magnum (Chiari 1.5 malformation), medullary kink, retroflexed odontoid, abnormal clival-cervical angle, occipitalization of the atlas, basilar invagination, syringomyelia or scoliosis. Patients with “complex Chiari” malformation are different from those with typical Chiari 1 malformation in that their management… CONTINUE READING


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