ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2022
Diagnosis and treatment of Chiari malformation and syringomyelia in adults: international consensus document.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 57 papers, 3 of them syntheses that pooled it.
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Who cites it
57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 122 citations in OpenAlex.
- Intraoperative Ultrasound in Chiari 1 Decompression: Clarity or Confusion? A Systematic Review.Neurosurgery · 2026Pooled it
- Intraoperative ultrasonography in the surgical management of Chiari I malformation: A systematic review and meta-analysis of outcomes and applications.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Pooled it
- The management of Chiari malformation type 1 and syringomyelia in children: a review of the literature.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021Pooled it
- Clinical and MRI morphometric characterization of symptomatic cerebellar tonsillar ectopia.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- Spontaneous resolution of syringomyelia associated with an unruptured intracranial aneurysm: A case report.Radiology case reports · 2026Article
- Embolization of CSF-venous fistula for syrinx resolution in acquired Chiari malformation: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Response To: Chiari Malformation Type 0: Methodological Concerns Regarding the Null Structural Finding.Acta neurochirurgica · 2026Article
- [Imaging assessment and treatment of Charcot arthropathy of the shoulder assisted by NGH classification].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026Review
- Duraplasty Versus Bony Decompression in Adult Chiari I: Comparative Clinical and Morphometric Analysis.Medicina (Kaunas, Lithuania) · 2026Article
- Chiari malformation type 0: methodological concerns regarding the null structural finding.Acta neurochirurgica · 2026Article
- MRI-morphometric characterization of Chiari malformation types 0 and 1 with syringomyelia: implications for diagnosis and pathogenesis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Observational
- Central hypoventilation and choking episodes revealing Chiari malformation type I.BMJ case reports · 2026Article
- Natural history of Chiari I malformation-syringomyelia: longitudinal cohort study.Journal of neurology, neurosurgery, and psychiatry · 2025Article
- Chiari 1 Malformation, Factors That May Influence Decision Making, and Introducing the Chiari 1 Malformation Severity Classification System.Journal of clinical medicine · 2025Article
- Hyponatremia Presents With Seizure in a Patient With Arnold-Chiari Malformation: A Case Report.Cureus · 2025Article
- Article
- Resolution of tonsillar herniation and syringomyelia after resection of supratentorial large meningioma.Brain & spine · 2025Article
- Septic Shock After Surgery in Arnold-Chiari Malformation Type I: A Case Report.International medical case reports journal · 2025Article
- The Genetics of Chiari 1 Malformation.Journal of clinical medicine · 2024Review
- Chiari Formation or Malformation? Trends in the Pathophysiology and Surgical Treatment of an Ever-Elusive Entity.Brain sciences · 2024Review
Corrections and comments
- Erratum issued
Authors and funding
36 authors at 18 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSyringomyelia and Chiari malformation are classified as rare diseases on Orphanet, but international guidelines on diagnostic criteria and case definition are missing. AIM OF THE STUDY: to reach a consensus among international experts on controversial issues in diagnosis and treatment of Chiari 1 malformation and syringomyelia in adults.
methodsA multidisciplinary panel of the Chiari and Syringomyelia Consortium (4 neurosurgeons, 2 neurologists, 1 neuroradiologist, 1 pediatric neurologist) appointed an international Jury of experts to elaborate a consensus document. After an evidence-based review and further discussions, 63 draft statements grouped in 4 domains (definition and classification/planning/surgery/isolated syringomyelia) were formulated. A Jury of 32 experts in the field of diagnosis and treatment of Chiari and syringomyelia and patient representatives were invited to take part in a three-round Delphi process. The Jury received a structured questionnaire containing the 63 statements, each to be voted on a 4-point Likert-type scale and commented. Statements with agreement <75% were revised and entered round 2. Round 3 was face-to-face, during the Chiari Consensus Conference (Milan, November 2019).
resultsThirty-one out of 32 Jury members (6 neurologists, 4 neuroradiologists, 19 neurosurgeons, and 2 patient association representatives) participated in the consensus. After round 2, a consensus was reached on 57/63 statements (90.5%). The six difficult statements were revised and voted in round 3, and the whole set of statements was further discussed and approved.
conclusionsThe consensus document consists of 63 statements which benefited from expert discussion and fine-tuning, serving clinicians and researchers following adults with Chiari and syringomyelia.
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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.