Evidence map›Paper›PMID 29468516›Full record

SynthesisNeuropsychology review2018

A Systematic Review of Cognition in Chiari I Malformation.

Jeffrey M Rogers, Greg Savage, Marcus A Stoodley

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neuropsychology review, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Chiari I malformation.Nature reviews. Disease primers · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Mapping the neurocognitive landscape of pediatric Chiari malformation type I: a scoping review of the literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  8. Article
  9. Article
  10. Chiari I malformation: management evolution and technical innovation.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Diagnosis and treatment of Chiari malformation type 1 in children: the International Consensus Document.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  17. Article
  18. Review
  19. Article
  20. 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

3 authors at 2 institutions in 1 country.

Jeffrey M RogersDepartment of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Level 1, 75 Talavera Rd, New South Wales, 2109, Australia. jeff.rogers@mq.edu.au.
Greg SavageARC Centre of Excellence in Cognition and its Disorders, Department of Psychology, Macquarie University, New South Wales, 2109, Australia.
Marcus A StoodleyDepartment of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Level 1, 75 Talavera Rd, New South Wales, 2109, Australia.
Macquarie University · AUARC Centre of Excellence in Cognition and its Disorders · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Displacement of the cerebellar tonsils in Chiari type I malformation (CMI) can affect functions controlled by the cerebellum and brainstem. While playing an integral role in the control of movement, the cerebellum also has widespread cortical connections, influencing a range of cognitive process. A systematic literature review was conducted to examine the relationship between cognition and CMI, assessing evidence for general or domain-specific cognitive change. The search protocol examined the AMED, CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, and Scopus databases. Articles meeting the following criteria were included in this review (i) examined children or adults with a clinically defined diagnosis of CMI, (ii) assessed cognitive function with a prospective examination, (iii) included at least one standardized instrument designed to measure general or specific domains of cognitive function, and (iv) were published in English in a peer-reviewed journal. Twelve articles were identified, including 783 cases aged 3 months to 64 years. General cognition, processing speed, and learning and memory appeared less affected, while language deficits appeared to diminish with age. Executive dysfunction was the most commonly reported cognitive impairment, while attention and working memory, and visuospatial and perceptual skills also appeared vulnerable. Numerous methodological limitations were identified that should be considered in interpreting the impact of CMI and planning future investigations. Overall, there is currently insufficient evidence to describe a valid and reliable profile of cognitive impairment in CMI. Further research is required to confirm these preliminary psychometric results and integrate them with pathophysiological models.

Indexed as

CognitionArnold-Chiari MalformationCognitive DysfunctionHumansArnold Chiari malformationCognitionNeuropsychological testSystematic review

Identifiers

PMID29468516
OpenAlexW2788277387

What OpenQuestion holds

Textmetadata
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.