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The Brazilian Society for Pediatric Neurosurgery: consensus on Chiari I deformity

  • Alexandre Casagrande Canheu
  • Marcelo Volpon Santos
  • Luciano Lopes Furlanetti
  • José Francisco Manganelli Salomão
  • Ricardo Santos de OliveiraEmail author
Letter to the Editor
  • 15 Downloads

Dear Editor:

On 2 and 3 of August 2020, the Brazilian Society for Pediatric Neurosurgery (SBNPed) has gathered in an unprecedented effort to reach a consensus report about pediatric craniovertebral junction (CVJ) diseases, specifically on Chiari I deformity (CID). Twenty-six experts were invited to talk and discuss all aspects of CID, including CVJ anatomy, imaging, nomenclature, and clinical presentation. The management of asymptomatic cases, when and how to operate on those, reoperation, and complications were also discussed. The event had 84 registered attendees. We conducted a survey of 27 questions about controversial aspects of CID, which was addressed to all certified neurosurgeons by a mobile app before and at the end of the consensus meeting, to check for differences or changes in their clinical decisions.

The controversial topic of sectioning the filum terminalewas also discussed. A comprehensive review of the medical literature has actually disclosed very few articles...

Notes

Compliance with ethical standards

Conflicts of interest

The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

References

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    Royo-Salvador MB, Solé-Llenas J, Doménech JM, González-Adrio R (2005) Results of the section of the filum terminale in 20 patients with syringomyelia, scoliosis and Chiari malformation. Acta Neurochir 147:515–523 discussion 523CrossRefGoogle Scholar
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    Di Rocco C (2019) Should we stop using the term “malformation” for Chiari type I? Childs Nerv Syst 35:1649–1650CrossRefGoogle Scholar
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    Tubbs RS, Yan H, Demerdash A, Chern JJ, Fries FN, Oskouian RJ, Oakes WJ (2016) Sagittal MRI often overestimates the degree of cerebellar tonsillar ectopia: a potential for misdiagnosis of the Chiari I malformation. Childs Nerv Syst 32:1245–1248CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Pediatric NeurosurgeryUniversity HospitalLondrinaBrazil
  2. 2.Division of Pediatric Neurosurgery, Department of Surgery and Anatomy, University Hospital, Ribeirão Preto Medical SchoolUniversity of São PauloRibeirão PretoBrazil
  3. 3.Department of NeurosurgeryKing’s College Hospital NHS Foundation TrustLondonUK
  4. 4.Pediatric Neurosurgery Division, Fernandes Figueira InstituteOswaldo Cruz Foundation (IFF-Fiocruz)Rio de JaneiroBrazil
  5. 5.Division of Neurosurgery, Department of Surgery and Anatomy, University Hospital of Ribeirão Preto Medical SchoolUniversity of São PauloRibeirão PretoBrazil

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