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Lateral compression of the foramen magnum with the Chiari I malformation: case illustrations

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References

  1. Aleem MA, Ramasubramanian D (2001) Cranio-vertebral anomaly-type II basilar invagination (Dejerine type), persistent spheno-occipital synchondrosis, foramen magnum stenosis, cervical stenosis with chronic cervical cord atrophy. Neurol India 49:102

    PubMed  CAS  Google Scholar 

  2. Aydin S, Hanimoglu H, Tanriverdi T, Yentur E, Kaynar MY (2005) Chiari type I malformations in adults: a morphometric analysis of the posterior cranial fossa. Surg Neurol 64:237–241

    Article  PubMed  Google Scholar 

  3. Bagley CA, Pindrik JA, Bookland MJ, Camara-Quintana JQ, Carson BS (2006) Cervicomedullary decompression for foramen magnum stenosis in achondroplasia. J Neurosurg 104:166–172

    PubMed  Google Scholar 

  4. Bliesener JA, Schmidt LR (1980) Normal and pathological growth of the foramen occipitale magnum shown in the plain radiography. Pediatr Radiol 10:65–69

    Article  PubMed  CAS  Google Scholar 

  5. Boltshauser E, Schmitt B, Wichmann W, Valavanis A, Sailer H, Yonekawa Y (1996) Cerebellomedullary compression in recessive craniometaphyseal dysplasia. Neuroradiology 38(Suppl 1):S193–S195

    Article  PubMed  Google Scholar 

  6. Collignon FP, Cohen-Gadol AA, Krauss WE (2004) Circumferential decompression of the foramen magnum for the treatment of syringomyelia associated with basilar invagination. Neurosurg Rev 27:168–172

    Article  PubMed  Google Scholar 

  7. Cone RO, Flourney J, MacPherson RI (1986) The craniocervical junction. RadioGraphics 1:1–37

    Google Scholar 

  8. de Oliveira E, Rhoton AL Jr, Peace D (1985) Microsurgical anatomy of the region of the foramen magnum. Surg Neurol 24:293–352

    Article  PubMed  Google Scholar 

  9. Dickman C, Spetzler R, Sonntag V (1998) Surgery of the craniovertebral junction, 1st edn. Thieme Medical, New York

    Google Scholar 

  10. Ferrier S, Nussle D, Friedli B, Ferrier PE (1980) Marchesani's syndrome (spherophakia–brachymorphism). Helv Paediatr Acta 35:185–198

    PubMed  CAS  Google Scholar 

  11. Hadley LE (1948) Atlanto-occipital fusion, ossiculum terminale and occipital vertebra as related to basilar impression with neurological symptoms. Am J Roentgenol Radium Ther 59:511–524

    PubMed  CAS  Google Scholar 

  12. Harrower G (1922–1923) Variations in region of foramen magnum. J Anat 57:178

    Google Scholar 

  13. Hecht JT, Butler IJ (1990) Neurologic morbidity associated with achondroplasia. J Child Neurol 5:84–97

    Article  PubMed  CAS  Google Scholar 

  14. Hecht JT, Horton WA, Reid CS, Pyeritz RE, Chakraborty R (1989) Growth of the foramen magnum in achondroplasia. Am J Med Genet 32:528–535

    Article  PubMed  CAS  Google Scholar 

  15. Hecht JT, Nelson FW, Butler IJ, Horton WA, Scott CI Jr, Wassman ER (1985) Computerized tomography of the foramen magnum: achondroplastic values compared to normal standards. Am J Med Genet 20:355–360

    Article  PubMed  CAS  Google Scholar 

  16. Hunter AG, Bankier A, Rogers JG, Sillence D, Scott CI Jr (1998) Medical complications of achondroplasia: a multicentre patient review. J Med Genet 35:705–712

    Article  PubMed  CAS  Google Scholar 

  17. Knisely AS, Steigman CK (1989) Stenosis of the foramen magnum and rostral spinal canal, with spinal cord deformity, in Jeune's asphyxiating thoracic dystrophy. Pediatr Pathol 9:299–305

    Article  PubMed  CAS  Google Scholar 

  18. Lang J (1991) Clinical anatomy of the posterior cranial fossa and its foramina. Thieme, Stuttgart

    Google Scholar 

  19. Loukas M, Wartmann CT, Tubbs RS, Apaydin N, Louis RG Jr, Black B (2008) Right ventricular false tendons, a cadaveric approach. Surg Radiol Anat 30:317–322

    Article  PubMed  Google Scholar 

  20. McRae DL (1953) Bony abnormalities in the region of the foramen magnum. Acta Radiologica 40:335–354

    Article  PubMed  CAS  Google Scholar 

  21. Menezes AH (1995) Primary craniovertebral anomalies and the hindbrain herniation syndrome (Chiari I): data base analysis. Pediatr Neurosurg 23:260–269

    Article  PubMed  CAS  Google Scholar 

  22. Muller F, O'Rahilly R (1994) Occipitocervical segmentation in staged human embryos. J Anat 185(Pt 2):251–258

    PubMed  Google Scholar 

  23. Pauli RM, Horton VK, Glinski LP, Reiser CA (1995) Prospective assessment of risks for cervicomedullary-junction compression in infants with achondroplasia. Am J Hum Genet 56:732–744

    PubMed  CAS  Google Scholar 

  24. Remes V, Tervahartiala P, Poussa M, Peltonen J (2000) Cervical spine in diastrophic dysplasia: an MRI analysis. J Pediatr Orthop 20:48–53

    PubMed  CAS  Google Scholar 

  25. Sindou M, Gimbert E (2009) Decompression for Chiari type I-malformation (with or without syringomyelia) by extreme lateral foramen magnum opening and expansile duraplasty with arachnoid preservation: comparison with other technical modalities. Adv Tech Stand Neurosurg 34:85–110

    Article  PubMed  CAS  Google Scholar 

  26. Sindou M, Chavez-Machuca J, Hashish H (2002) Cranio-cervical decompression for Chiari type I-malformation, adding extreme lateral foramen magnum opening and expansile duraplasty with arachnoid preservation. Technique and long-term functional results in 44 consecutive adult cases—comparison with literature data. Acta Neurochir 144:1005–1019

    CAS  Google Scholar 

  27. Smoker WR (1994) Craniovertebral junction: normal anatomy, craniometry, and congenital anomalies. Radiographics 14:255–277

    PubMed  CAS  Google Scholar 

  28. Tubbs RS, Lancaster JR, Mortazavi MM, Shoja MM, Chern JJ, Loukas M (2011) Morphometry of the outlet of the foramen magnum in crania with atlantooccipital fusion. J Neurosurg Spine 15:55–59

    Article  PubMed  Google Scholar 

  29. Tubbs RS, Griessenauer CJ, Loukas M, Shoja MM, Cohen-Gadol AA (2010) Morphometric analysis of the foramen magnum: an anatomic study. Neurosurgery 66:385–388

    Article  PubMed  Google Scholar 

  30. Upmeyer S, Bothwell M, Tobias JD (2005) Perioperative care of a patient with Beare–Stevenson syndrome. Paediatr Anaesth 15:1131–1136

    PubMed  Google Scholar 

  31. Wang H, Rosenbaum AE, Reid CS, Zinreich SJ, Pyeritz RE (1987) Pediatric patients with achondroplasia: CT evaluation of the craniocervical junction. Radiology 164:515–519

    PubMed  CAS  Google Scholar 

  32. Zingesser LH (1973) Radiological aspects of anomalies of the upper cervical spine and craniocervical junction. Clin Neurosurg 20:220–231

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Pediatric Neurosurgery, Children’s Hospital, 1600 7th Avenue South ACC 400, Birmingham, AL, 35233, USA

    R. Shane Tubbs, Joshua J. Chern, Mitchel Muhleman & W. Jerry Oakes

  2. Department of Anatomical Sciences, St. George’s University, St. George, Grenada

    Marios Loukas

  3. Neuroscience Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

    Mohammadali M. Shoja

Authors
  1. R. Shane Tubbs
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  2. Joshua J. Chern
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  3. Mitchel Muhleman
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  4. Marios Loukas
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  5. Mohammadali M. Shoja
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  6. W. Jerry Oakes
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Correspondence to R. Shane Tubbs.

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Tubbs, R.S., Chern, J.J., Muhleman, M. et al. Lateral compression of the foramen magnum with the Chiari I malformation: case illustrations. Childs Nerv Syst 29, 495–498 (2013). https://doi.org/10.1007/s00381-012-1750-8

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