Evidence map›Paper›PMID 38485197›Full record

ArticleAJNR. American journal of neuroradiology2024

Prognostic Significance of Central Skull Base Remodeling in Chiari II Malformation.

John T Freiling, Nilesh K Desai, Stephen F Kralik, William E Whitehead, Thierry A G M Huisman

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Redefining Chiari Malformation Type III: a systematic review of prognostic stratification based on a three-tier MRI-based anatomical classification.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Pooled it
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.

John T FreilingFrom the Edward B. Singleton Department of Radiology (J.T.F., N.K.D., S.F.K., T.A.G.M.H.), Texas Children's Hospital & Baylor College of Medicine, Houston, Texas.ORCID 0000-0002-6041-0373
Nilesh K DesaiFrom the Edward B. Singleton Department of Radiology (J.T.F., N.K.D., S.F.K., T.A.G.M.H.), Texas Children's Hospital & Baylor College of Medicine, Houston, Texas.ORCID 0000-0001-9663-8655
Stephen F KralikFrom the Edward B. Singleton Department of Radiology (J.T.F., N.K.D., S.F.K., T.A.G.M.H.), Texas Children's Hospital & Baylor College of Medicine, Houston, Texas.ORCID 0000-0001-7213-1761
William E WhiteheadDepartment of Neurosurgery (W.E.W.), Texas Children's Hospital & Baylor College of Medicine, Houston, Texas.
Thierry A G M HuismanFrom the Edward B. Singleton Department of Radiology (J.T.F., N.K.D., S.F.K., T.A.G.M.H.), Texas Children's Hospital & Baylor College of Medicine, Houston, Texas.ORCID 0000-0003-2302-6724
Baylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeOutward convexity of the basiocciput and posterior atlanto-occipital membrane are common in patients with Chiari II malformation associated with an open neural tube defect. We aimed to determine if the severity of these findings correlated with the need for future hydrocephalus treatment. MATERIALS AND

methodsA retrospective chart and imaging review identified patients who underwent open neural tube defect repair at a quaternary care pediatric hospital from July 2014 through September 2022. Patients were classified by the need for hydrocephalus treatment and whether they received prenatal or postnatal neural tube defect repair. Measurements of imaging parameters related to posterior fossa maldevelopment and skull base remodeling were performed.

resultsCompared with 65 patients who did not require hydrocephalus treatment, 74 patients who required treatment demonstrated statistically significantly greater mean basiocciput convexity (

conclusionsPediatric patients with Chiari II malformation who ultimately required surgical hydrocephalus treatment had greater outward convexity of the basiocciput but had greater posterior atlanto-occipital membrane outward convexity only if the repair was performed postnatally. Together these measurements may be useful in predicting the need for hydrocephalus treatment.

Indexed as

Arnold-Chiari MalformationHydrocephalusNeural Tube DefectsChildFemaleHumansMagnetic Resonance ImagingPregnancyPrognosisRetrospective StudiesSkull Base

Identifiers

PMID38485197
PMCPMC11288566
OpenAlexW4392818413

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.