ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2016
A novel technique to treat acquired Chiari I malformation after supratentorial shunting.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Sinking skin flap syndrome masquerading as Chiari malformation: failed syringomyelia treatment rescued by cranioplasty. Illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- A Critical Update of the Classification of Chiari and Chiari-like Malformations.Journal of clinical medicine · 2023Review
- Acquired Chiari type I malformation: a late and misunderstood supratentorial over-drainage complication.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Review
- Acquired Chiari type I malformation managed by expanding posterior fossa volume and literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Review
- Is Cervical Stabilization for All Cases of Chiari-I Malformation an Overkill? Evidence Speaks Louder Than Words!Neurospine · 2019Article
- Posterior C1-C2 screw-rod salvage for Chiari I malformation with atlantoaxial instability after failed foramen magnum decompression.Journal of craniovertebral junction & spineArticle
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2 authors.
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Abstract
purposeThe acquired Chiari I malformation with abnormal cranial vault thickening is a rare late complication of supratentorial shunting. It poses a difficult clinical problem, and there is debate about the optimal surgical strategy. Some authors advocate supratentorial skull enlarging procedures while others prefer a normal Chiari decompression consisting of a suboccipital craniectomy, with or without C1 laminectomy and dural patch grafting.
methodsWe illustrate three cases of symptomatic acquired Chiari I malformation due to inward cranial vault thickening.
resultsWe describe a new surgical approach that appears to be effective in these patients. This approach includes the standard Chiari decompression combined with posterior fossa augmentation by thinning the occipital planum.
conclusionInternal volume re-expansion of the posterior fossa by thinning the occipital planum appears to be an effective novel surgical strategy in conjunction with the standard surgical therapy of Chiari decompression.
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