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Chiari I malformation: surgical experience over a decade of management.
Br J Neurosurg. 2008 Jun; 22(3):409-14.BJ

Abstract

Chiari malformations are a pathological continuum of hindbrain maldevelopment and Chiari I malformation (CMI) represents caudal decent of cerebellar tonsils. The surgery aims to relieve tonsillar compression with restoration of the normal cerebrospinal (CSF) flow dynamics. We report the salient features of our surgical experience with CMI; over a decade of management of 87 patients. Most (57) presented with pain and weakness was predominant motor complaint (n = 34). The associated bony anomalies were seen in 25 patients. For clinical grading and outcome analysis, modified Klekamp and Samii scoring system was used. The majority of patients were in poor grades (n = 43); 79 patients improved following surgical intervention at a mean follow-up of 34.21 + 21.53 months. The bony decompression and establishment of CSF flow dynamics are needed, and posterior fossa decompression in symptomatic patients offers success in the majority of patients with minimal complications.

Authors+Show Affiliations

Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. rajkumar1959@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18568730

Citation

Kumar, R, et al. "Chiari I Malformation: Surgical Experience Over a Decade of Management." British Journal of Neurosurgery, vol. 22, no. 3, 2008, pp. 409-14.
Kumar R, Kalra SK, Vaid VK, et al. Chiari I malformation: surgical experience over a decade of management. Br J Neurosurg. 2008;22(3):409-14.
Kumar, R., Kalra, S. K., Vaid, V. K., & Mahapatra, A. K. (2008). Chiari I malformation: surgical experience over a decade of management. British Journal of Neurosurgery, 22(3), 409-14. https://doi.org/10.1080/02688690801894638
Kumar R, et al. Chiari I Malformation: Surgical Experience Over a Decade of Management. Br J Neurosurg. 2008;22(3):409-14. PubMed PMID: 18568730.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chiari I malformation: surgical experience over a decade of management. AU - Kumar,R, AU - Kalra,Samir K, AU - Vaid,Vivek K, AU - Mahapatra,A K, PY - 2008/6/24/pubmed PY - 2008/11/14/medline PY - 2008/6/24/entrez SP - 409 EP - 14 JF - British journal of neurosurgery JO - Br J Neurosurg VL - 22 IS - 3 N2 - Chiari malformations are a pathological continuum of hindbrain maldevelopment and Chiari I malformation (CMI) represents caudal decent of cerebellar tonsils. The surgery aims to relieve tonsillar compression with restoration of the normal cerebrospinal (CSF) flow dynamics. We report the salient features of our surgical experience with CMI; over a decade of management of 87 patients. Most (57) presented with pain and weakness was predominant motor complaint (n = 34). The associated bony anomalies were seen in 25 patients. For clinical grading and outcome analysis, modified Klekamp and Samii scoring system was used. The majority of patients were in poor grades (n = 43); 79 patients improved following surgical intervention at a mean follow-up of 34.21 + 21.53 months. The bony decompression and establishment of CSF flow dynamics are needed, and posterior fossa decompression in symptomatic patients offers success in the majority of patients with minimal complications. SN - 0268-8697 UR - https://www.unboundmedicine.com/medline/citation/18568730/Chiari_I_malformation:_surgical_experience_over_a_decade_of_management_ L2 - http://www.tandfonline.com/doi/full/10.1080/02688690801894638 DB - PRIME DP - Unbound Medicine ER -