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Surgical Treatment of Chiari Malformation in Adults: Comparison of Surgical Techniques Described in the Literature and Our Experience

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New Trends in Craniovertebral Junction Surgery

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 125))

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References

  1. Abd-El-Barr MM, Strong CI, Groff MW. Chiari malformations: diagnosis, treatments and failures. J Neurosurg Sci. 2014;58:215–21.

    CAS  PubMed  Google Scholar 

  2. Greenberg MS. Handbook of neurosurgery. 7th ed. New York: Thieme; 2010.

    Google Scholar 

  3. Speer MC, Enterline DS, Mehltretter L, et al. Chiari type I malformation with or without syringomyelia: prevalence and genetics. J Genet Couns. 2003;12:297–311.

    Article  Google Scholar 

  4. Batzdorf U. Syringomyelia, Chiari malformation and hydromyelia. In: Youman JR, editor. Neurological surgery. 4th ed. Philadelphia: Saunders; 1996. p. 1090–109.

    Google Scholar 

  5. Tubb RS, Pugh JA, Oakes WJ. Chiari malformations. In: Winn HR, editor. Youmans neurological surgery. 6th ed. Philadelphia: Elsevier Saunders; 2011. p. 1918–27.

    Chapter  Google Scholar 

  6. Batzdorf U. Microsurgery of syringomyelia and syringomyelia cord syndrome. In: Schmidek HH, Roberts DW, editors. Operative neurosurgical techniques. 5th ed. Philadelphia: Saunders Elsevier; 2006. p. 1767–75.

    Google Scholar 

  7. Pollack IF, Pang D, Albright AL, et al. Outcome following hindbrain decompression of symptomatic Chiari malformations in children previously treated with myelomeningocele closure and shunt. J Neurosurg. 1992;77:881–8.

    Article  CAS  Google Scholar 

  8. Castillo M. Neuroradiology companion. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.

    Google Scholar 

  9. Badie B, Mendoza D, Batzdorf U. Posterior fossa volume and response to suboccipital decompression in patients with Chiari I malformation. Neurosurgery. 1995;37:214–8.

    Article  CAS  Google Scholar 

  10. Alzate JC, Kothbauer KF, Jallo GI, Epstein FJ. Treatment of Chiari I malformation in patients with and without syringomyelia: a consecutive series of 66 cases. Neurosurg Focus. 2001;11:E3.

    CAS  PubMed  Google Scholar 

  11. Cahan LD, Bentson JR. Considerations in the diagnosis and treatment of syringomyelia and the Chiari malformation. J Neurosurg. 1982;57:24–31.

    Article  CAS  Google Scholar 

  12. Rhoton AL Jr. Microsurgery of Arnold–Chiari malformation in adults with and without hydromyelia. J Neurosurg. 1976;45:473–83.

    Article  Google Scholar 

  13. Williams B. Surgery for hindbrain related syringomyelia. Adv Tech Stand Neurosurg. 1993;20:107–64.

    Article  CAS  Google Scholar 

  14. Tubbs RS, McGirt MJ, Oakes WJ. Surgical experience in 130 pediatric patients with Chiari I malformations. J Neurosurg. 2003;99:291–6.

    Article  Google Scholar 

  15. Findlay G, Owen R. Surgery of the spine: a combined orthopaedic and neurosurgical approach. Boston: Blackwell Scientific Publications; 1992.

    Google Scholar 

  16. Yeh DD, Koch B, Crone KR. Intraoperative ultrasonography used to determine the extent of surgery necessary during posterior fossa decompression in children with Chiari malformation type I. J Neurosurg. 2006;105(1 Suppl):26–32.

    PubMed  Google Scholar 

  17. McGirt MJ, Nimjee SM, Fuchs HE, George TM. Relationship of cine phase-contrast magnetic resonance imaging with outcome after decompression for Chiari I malformations. Neurosurgery. 2006;59:140–6. discussion 140–6.

    Article  Google Scholar 

  18. Genitori L, Peretta P, Nurisso C, Macinante L, Mussa F. Chiari type I anomalies in children and adolescents: minimally invasive management in a series of 53 cases. Childs Nerv Syst. 2000;16(10–11):707–18.

    Article  CAS  Google Scholar 

  19. Klekamp J, Batzdorf U, Samii M, Bothe HW. The surgical treatment of Chiari I malformation. Acta Neurochir. 1996;138:788–801.

    Article  CAS  Google Scholar 

  20. Munshi I, Frim D, Stine-Reyes R, et al. Effects of posterior fossa decompression with and without duraplasty on Chiari malformation–associated hydromyelia. Neurosurgery. 2000;46:1384–9. discussion 1389–90.

    Article  CAS  Google Scholar 

  21. Guyotat J, Bret P, Jouanneau E, Ricci AC, Lapras C. Syringomyelia associated with type I Chiari malformation. A 21-year retrospective study on 75 cases treated by foramen magnum decompression with a special emphasis on the value of tonsils resection. Acta Neurochir. 1998;140(8):745–54.

    Article  CAS  Google Scholar 

  22. Limonadi FM, Selden NR. Dura-splitting decompression of the craniocervical junction: reduced operative time, hospital stay, and cost with equivalent early outcome. J Neurosurg. 2004;101(2 Suppl):184–8.

    PubMed  Google Scholar 

  23. Cai C, Oakes WJ. Hindbrain herniation syndromes: the Chiari malformations (I and II). Semin Pediatr Neurol. 1997;4(3):179–91.

    Article  CAS  Google Scholar 

  24. Park JK, Gleason PL, Madsen JR, Goumnerova LC, Scott RM. Presentation and management of Chiari I malformation in children. Pediatr Neurosurg. 1997;26(4):190–6.

    Article  CAS  Google Scholar 

  25. Ergun R, Akdemir G, Gezici AR, et al. Surgical management of syringomyelia–Chiari complex. Eur Spine J. 2000;9(6):553–7.

    Article  CAS  Google Scholar 

  26. Goel A, Desai K. Surgery for syringomyelia: an analysis based on 163 surgical cases. Acta Neurochir. 2000;142:293–301. discussion 301–2.

    Article  CAS  Google Scholar 

  27. Brockmeyer D, Gollogly S, Smith JT. Scoliosis associated with Chiari 1 malformations: the effect of suboccipital decompression on scoliosis curve progression: a preliminary study. Spine. 2003;28:2505–9.

    Article  Google Scholar 

  28. Sengupta DK, Dorgan J, Findlay GF. Can hindbrain decompression for syringomyelia lead to regression of scoliosis? Eur Spine J. 2000;9(3):198–201.

    Article  CAS  Google Scholar 

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Lavorato, L., Spallone, A., Visocchi, M. (2019). Surgical Treatment of Chiari Malformation in Adults: Comparison of Surgical Techniques Described in the Literature and Our Experience. In: Visocchi, M. (eds) New Trends in Craniovertebral Junction Surgery. Acta Neurochirurgica Supplement, vol 125. Springer, Cham. https://doi.org/10.1007/978-3-319-62515-7_20

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  • DOI: https://doi.org/10.1007/978-3-319-62515-7_20

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