Evidence map›Paper›PMID 36424067›Full record

ReviewNeurosurgery clinics of North America2023

Cerebrospinal Fluid Hydrodynamics in Chiari I Malformation and Syringomyelia: Modeling Pathophysiology.

John D Heiss

3 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Neurosurgery clinics of North America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.6field-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.

NCT06268093 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of Thalidomide in Refractory Syringomyelia(RS): a Phase II Clinical Trial

TypeinterventionalSponsorXuanwu Hospital, BeijingRan2024 to 2028Enrolled30ConditionsSyringomyelia, ThalidomideArmsThalidomide
NCT06308367 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of Betaine in Refractory Syringomyelia(RS)

TypeinterventionalSponsorXuanwu Hospital, BeijingRan2024 to 2028Enrolled30ConditionsSyringomyeliaArmsBetaine, Placebo
NCT06375759 narecruitingnot on this mapstarted 2024, after this paper: background citation

Subarachnoid-Subarachnoid (S-S) Bypass Versus Adhesion Lysis in Spinal Arachnoiditis and Syringomyelia

TypeinterventionalSponsorXuanwu Hospital, BeijingRan2024 to 2027Enrolled200ConditionsSyringomyeliaArmsSubarachnoid-Subarachnoid (S-S) Bypass, Intradural Adhesion Lysis
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 31 citations in OpenAlex.

  1. Chiari I malformation.Nature reviews. Disease primers · 2026
    Review
  2. Article
  3. Cervical syringomyelia presenting as isolated unilateral segmental myoclonus.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. Cervicomedullary CSF space obliteration as a risk factor of reoperation in Chiari malformation type I.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  5. Article
  6. Article
  7. 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 · 2026
    Observational
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  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

1 author at 1 institution in 1 country.

John D HeissClinical Unit, Surgical Neurology Branch, National Institute of Neurological Diseases and Stroke, National Institutes of Health, 10 Center Drive, Room 3D20, MSC-1414, Bethesda, MD 20892, USA. Electronic address: heissj@ninds.nih.gov.
National Institutes of Health · US

Funding

Pathophysiology and Treatment of SyringomyeliaZIANS003050 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI HEISS, JOHN · 2009 to 2025
$14.4M
Intramural NIH HHS ZIA NS003050
6 · The paper itself

Abstract

Anatomic MRI, MRI flow studies, and intraoperative ultrasonography demonstrate that the Chiari I malformation obstructs CSF pathways at the foramen magnum and prevents normal CSF movement through the foramen magnum. Impaired CSF displacement across the foramen magnum during the cardiac cycle increases pulsatile hindbrain motion, pressure transmission to the spinal subarachnoid space, and the amplitude of CSF subarachnoid pressure waves driving CSF into the spinal cord. Central canal septations in adults prevent syrinx formation by CSF directly transmitting its pressure wave from the fourth ventricle to the central canal.

Indexed as

Arnold-Chiari MalformationSyringomyeliaAdultCerebrospinal Fluid PressureHumansHydrodynamicsSubarachnoid SpaceAquaporin 4Cerebrospinal fluid dynamicsChiari I malformationForamen magnum decompressionGlymphatic systemHydrocephalusPathophysiologySyringomyelia

Identifiers

PMID36424067
PMCPMC9708110
OpenAlexW4308485061

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.