Treatment of Chiari malformation: who, when and how

@article{Imperato2011TreatmentOC,
  title={Treatment of Chiari malformation: who, when and how},
  author={Alessia Imperato and Vincenzo Seneca and Valentina Cioffi and Giuseppe Colella and Michelangelo Gangemi},
  journal={Neurological Sciences},
  year={2011},
  volume={32},
  pages={335-339}
}
There is no effective alternative to surgery in the treatment of the symptomatic cases of chiari malformation. Nonetheless, in literature there is no unanimous consensus about what is the surgical “gold standard” and which are the candidates for surgery. No doubt that intracranial hypertension and ventricular dilatation have to be investigated and treated before considering decompression. It is also very important to keep in mind that a surgery does not guarantee a complete recovery from every… 
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Methods Citations
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Citation Type

Chiari malformations in adults: A single center surgical experience with special emphasis on the kinetics of clinical improvement.
Adult syringomyelia associated with Chiari I malformation treated with cervical manipulation : a case report
TLDR
A 35-year-old female patient who was diagnosed with SACM and complained of suboccipital headache and cervicalgia was treated for two months, with eights visits using low-amplitude cervical manipulation, and imaging showed obvious resolution of syrinxes and spinal cord edema.
Manejo anestésico en una mujer con malformación de Arnold-Chiari tipo II residual
TLDR
The present case demonstrates that patients with partially corrected ACM type II, restrictive lung disease due to scoliosis and perforated appendicitis delivery require an interdisciplinary team approach, diligent preparation, and skilled physicians.
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TLDR
This study suggests that the intracranial pressure (ICP) of patients with CIM and ventricular dilation is usually normal, and PFD with duraplasty is an effective and safe treatment for CIM with ventricularDilation.
Long term outcome of surgical treatment of Chiari Malformation without syringomyelia.
TLDR
Surgery is a safe and long term effective treatment for patients with CM-I without syringomyelia in the majority of patients.
Evaluation of operative procedures for symptomatic outcome after decompression surgery for Chiari type I malformation
Untreated Chiari 1 Malformation in Adulthood with Massive Hydrosyringomyelia and Hydrocephalus
We describe a case of untreated Chiari I malformation in adulthood. It is characterized by displacement of the cerebellar tonsils caudally through the foramen magnum, associated with massive…
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TLDR
The Ghaly Obstetric Guide to Arnold-Chiari malformation Type 1, along with proper training of anesthesia care providers regarding the specificities of ACM-1 parturients aids in better management and understanding of this complex condition.
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.
Chiari malformation-related headache: outcome after surgical treatment
TLDR
Favorable results were obtained in 85% of atypical and 93% typical headache with the support of a multidisciplinary approach that restricted the indications for surgery.
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References

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TLDR
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TLDR
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TLDR
The authors report 17 cases of symptomatic Chiari type II malformation occurring in two distinct age dependent population and stress that prompt diagnosis and surgical intervention should be performed in order to produce a favorable outcome.
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TLDR
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