ReviewChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2020
Acute presentation of Chiari 1 malformation in children.
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 7 papers.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Wolff-Parkinson-White syndrome in a patient with type I Chiari malformation: management of an unusual association.Annals of medicine and surgery (2012) · 2026Article
- Chiari malformation type I with an associated syrinx presenting as acute central cord syndrome in a child: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Reoperation in Chiari-1 Malformations.Journal of clinical medicine · 2023Article
- Use of Intraoperative Neuromonitoring in Surgical Treatment of Acute Presentation of Chiari I Malformation: A Case Report.Journal of neurological surgery reports · 2023Article
- 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 · 2022Article
- Chiari malformation type 1: are we doing less with more? Illustrative case.Journal of neurosurgery. Case lessons · 2021Article
- The impact of imposed delay in elective pediatric neurosurgery: an informed hierarchy of need in the time of mass casualty crisis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Review
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo review the literature about the acute presentation of Chiari 1 malformation in children, with a focus on acute cervical cord syndromes with impairment of the cortico-spinal tract. To analyze the possible precipitating factors and the pathophysiology of the acute onset.
methodIllustrative case presentation with literature review.
resultsThe literature includes just a few dozens of children with acute presentation of Chiari 1 malformation. The more frequent presentations consist of oropharyngeal dysfunction, cranial nerve impairment, high intracranial pressure, peripheral motor deficit. Acute impairment of cervical long tracts is very rare and we could find only 16 previously reported cases of cervical cord impairment with quadriparesis or hemiparesis.
conclusionsNowadays, a lot of asymptomatic Chiari 1 malformations are frequently observed owing to the wide diffusion of magnetic resonance imaging. This raised the question about the management of these patients. Despite severe and even lethal manifestations being reported in previously asymptomatic patients, the absolute rarity of acute deterioration does not justify prophylactic surgery. The diagnosis of Chiari malformation may be initially difficult in patients with isolated, acute, and unusual presentations but physicians should bear in mind its possibility, because prompt cranio-cervical decompression may be decisive.
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