Evidence map›Paper›PMID 29021676›Full record

ArticleJournal of craniovertebral junction & spine

"Stealth cranioplasty:" A novel endeavor for symptomatic adult Chiari I patients with syringomyelia: Technical note, appraisal, and philosophical considerations.

Asifur Rahman, Md Sumon Rana, Paawan Bahadur Bhandari, Dewan Shamsul Asif, Abu Naim Wakil Uddin, Abu Saleh Mohammad Abu Obaida, Md Atikur Rahman, Md Shamsul Alam

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. A titanium implant for Chiari malformation Type 1 surgery.Surgical neurology international · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Asifur RahmanDepartment of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Md Sumon RanaDepartment of Neurosurgery, Dhaka Medical College and Hospital, Dhaka, Bangladesh.
Paawan Bahadur BhandariDepartment of Surgery, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.
Dewan Shamsul AsifDepartment of Neurosurgery, Anwer Khan Modern Medical College, Dhaka, Bangladesh.
Abu Naim Wakil UddinDepartment of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Abu Saleh Mohammad Abu ObaidaDepartment of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Md Atikur RahmanDepartment of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Md Shamsul AlamDepartment of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Bangladesh Medical University · BDNepalese Army Institute of Health Services · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM AND

objectiveIn this article, we describe a novel technique of reconstruction of posterior fossa by cranioplasty with use of preshaped titanium mesh following posterior fossa decompression (PFD) for Chiari malformation type I (CMI) with syringomyelia (SM) in symptomatic adults. MATERIALS AND

methodsEleven patients underwent limited PFD and expansive cranioplasty with preshaped titanium mesh, what we term as "Stealth Cranioplasty" (SCP), following arachnoid preserving duraplasty (APD) and hexagonal tenting of the duraplasty with the cranioplasty (HTDC) for the management of symptomatic adult CMI with SM. All these patients had syringes extending from 3 to >10 vertebral levels.

resultsSeven male and four female symptomatic CMI adult patients, between age ranges of 22 and 44 years (mean 29.45 years), presented with different neurological symptoms related to CMI and SM for 6-84 months (mean 37.09 months). All the patients underwent PFD, APD followed by SCP and HTDC and were followed up for 7-54 months (mean 35.90 months). Of 11 patients, 8 patients improved according to the Chicago Chiari Outcome Scale (CCOS) with score of 13-15 while 3 patients remained unchanged with CCOS of 12, and there was no worsening. There was no complication related to Chiari surgery in any of the patients. All the patients had good reestablishment of cisterna magna. Two patients had marked reduction of syrinx while eight patients had moderate-to-mild reduction and one patient had no change of syrinx. None of the patients needed redo surgery.

conclusionSCP is an effective, fruitful, and cost-effective technique for the management of symptomatic adult CMI with SM. This technique has the advantages of preventing complications and recurrences in addition to the improvement of symptoms by addressing the basic pathology.

Indexed as

Arachnoid preserving duraplastyChiari malformation type Ihexagonal tenting of the duraplasty with the cranioplastystealth cranioplastysyringomyelia

Identifiers

PMID29021676
PMCPMC5634111
OpenAlexW2754419102

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.