Evidence map›Paper›PMID 31786633›Full record

ReviewChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2020

Acquired Chiari type I malformation managed by expanding posterior fossa volume and literature review.

Yong Han, Min Chen, Jin Xu, Yongqiang Wang, Hangzhou Wang

Abstract readReview
PubMed Publisher
In one paragraph

Review in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Secondary Chiari-like formation caused by grafted bone overgrowth following occipitocervical fixation: a rare cause of pediatric quadriplegia.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  2. Article
  3. 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 · 2023
    Review
  4. 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

5 authors at 1 institution in 1 country.

Yong HanDepartment of Neurosurgery, Children's Hospital of Soochow University, 92 Zhongnan Street, Suzhou, 215006, Jiangsu, People's Republic of China.
Min ChenDepartment of Neurosurgery, Children's Hospital of Soochow University, 92 Zhongnan Street, Suzhou, 215006, Jiangsu, People's Republic of China.
Jin XuDepartment of Neurosurgery, Children's Hospital of Soochow University, 92 Zhongnan Street, Suzhou, 215006, Jiangsu, People's Republic of China.
Yongqiang WangDepartment of Neurosurgery, Children's Hospital of Soochow University, 92 Zhongnan Street, Suzhou, 215006, Jiangsu, People's Republic of China.
Hangzhou WangDepartment of Neurosurgery, Children's Hospital of Soochow University, 92 Zhongnan Street, Suzhou, 215006, Jiangsu, People's Republic of China. 13771843695@163.com.
Soochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe acquired Chiari type I malformation is a rare late complication of supratentorial shunting in children which is often accompanied by abnormal cranial vault thickening. Several surgical treatments for this disease have been proposed including supratentorial skull enlarging procedures and subtentorial craniotomy. But there is still debate about the best treatment strategy for this disease. METHOD AND

resultsWe reviewed the current knowledge of this disease in the paper. We illustrated one patient of symptomatic acquired Chiari type I malformation who had cysto-peritoneal (C-P) shunting and ventriculoperitoneal (V-P) shunting. We observed the CSF flow dynamic of this patient at different periods. The acquired Chiari type I malformation disappeared on imaging after thinning the occipital planum combined with the standard surgical therapy of Chiari decompression. The symptoms of the patient were relieved after surgery.

conclusionOvershunting manifestations require prompt recognition and management. Preventive measures should be taken which include making a stringent selection of cases being considered for surgery, avoiding C-P drainage, and placing of a programmable valve as initial treatment of intracranial arachnoid cysts (AC) if shunting is considered.

Indexed as

Arachnoid CystsArnold-Chiari MalformationChildCraniotomyDecompression, SurgicalHumansMagnetic Resonance ImagingNeurosurgical ProceduresSkullArachnoid cystChiari type I malformationDecompressionHydrocephalusShunting

Identifiers

PMID31786633
OpenAlexW2989864651

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.