ReviewChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019
Chiari I-a 'not so' congenital malformation?
Review in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Morphometric assessment of the posterior cranial fossa and its contents in patients with chiari malformation type I and type 0.Acta neurochirurgica · 2026Article
- Regression of Chiari malformation type 2 following early postnatal meningomyelocele repair-a retrospective observation from an institutional series of patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Long-term outcome of operated Chiari I patients between 2005 and 2020 in Eastern Finland.Acta neurochirurgica · 2024Article
- Preoperative estimation of intracranial compliance in symptomatic children with Chiari malformation type 1: impact on outcome and risk of complications.Acta neurochirurgica · 2024Article
- Surgical modeling of Chiari-like malformation in rats: Insights from canine morphology.PloS one · 2024Article
- Research process, recap, and prediction of Chiari malformation based on bicentennial history of nomenclature and terms misuse.Neurosurgical review · 2023Review
- A Critical Update of the Classification of Chiari and Chiari-like Malformations.Journal of clinical medicine · 2023Review
- Endoscopic third ventriculostomy for the management of children with cerebrospinal fluid disorders, ventriculomegaly, and associated Chiari I malformation.World neurosurgery: X · 2023Article
- Effect of modified clivoaxial angle on surgical decision making and treatment outcomes in patients with Chiari malformation type 1.Frontiers in surgery · 2023Article
- The Small Posterior Cranial Fossa Syndrome and Chiari Malformation Type 0.Journal of clinical medicine · 2022Review
- Management of Chiari type I malformation: a retrospective analysis of a series of 91 children treated surgically.Acta neurochirurgica · 2021Article
- Functional and morphological changes in hypoplasic posterior fossa.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Review
- Chiari malformations in children: An overview.World journal of clinical cases · 2021Review
- The Brazilian Society for Pediatric Neurosurgery: consensus on Chiari I deformity.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Article
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Authors and funding
1 author.
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Abstract
The term Chiari I malformation (CIM) is imbedded in the paediatric neurosurgical lexicon; however, the diagnostic criteria for this entity are imprecise, its pathophysiology variable, and the treatment options diverse. Until recently, CIM has been considered to be a discrete congenital malformation requiring a uniform approach to treatment. Increasingly, it is recognised that this is an oversimplification and that a more critical, etiologically based approach to the evaluation of children with this diagnosis is essential, not only to select those children who might be suitable for surgical treatment (and, of course those who might be better served by conservative management) but also to determine the most appropriate surgical strategy. Whilst good outcomes can be anticipated in the majority of children with CIM following foramen magnum decompression, treatment failures and complication rates are not insignificant. Arguably, poor or suboptimal outcomes following treatment for CIM reflect, not only a failure of surgical technique, but incorrect patient selection and failure to acknowledge the diverse pathophysiology underlying the phenomenon of CIM. The investigation of the child with 'hindbrain herniation' should be aimed at better understanding the mechanisms underlying the herniation so that these may be addressed by an appropriate choice of treatment.
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