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Published in: Child's Nervous System 11/2007

01-11-2007 | Review Paper

The pediatric Chiari I malformation: a review

Authors: R. Shane Tubbs, Michael J. Lyerly, Marios Loukas, Mohammadali M. Shoja, W. Jerry Oakes

Published in: Child's Nervous System | Issue 11/2007

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Abstract

Background

Both the diagnosis and treatment regimens for the Chiari I malformation (CIM) are varied and controversial. The present paper analyzes the literature regarding this form of hindbrain herniation in regard to definition, anatomy, pathobiology, symptoms, findings, treatment, and outcomes.

Discussions

Appropriate literature germane to the CIM is reviewed and discussed. There is variation in the reported anatomy, outcome, and treatment for children with CIM. Based on the literature, most patients have preoperative symptoms or findings (e.g., syringomyelia) improve no matter what surgical technique is utilized. However, standardized treatment paradigms based on randomized controlled studies are still necessary to elucidate the optimal selection and treatment criteria.
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Metadata
Title
The pediatric Chiari I malformation: a review
Authors
R. Shane Tubbs
Michael J. Lyerly
Marios Loukas
Mohammadali M. Shoja
W. Jerry Oakes
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 11/2007
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-007-0428-0

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