Neurological Sciences

, Volume 32, Supplement 3, pp 335–339

Treatment of Chiari malformation: who, when and how

Authors

  • Alessia Imperato
    • Department of Neurological Sciences, Division of NeurosurgeryCenter of Excellence for Technological Innovation in Surgery “ITC”, “Federico II” University School of Medicine
  • Vincenzo Seneca
    • Department of Neurological Sciences, Division of NeurosurgeryCenter of Excellence for Technological Innovation in Surgery “ITC”, “Federico II” University School of Medicine
  • Valentina Cioffi
    • Department of Neurological Sciences, Division of NeurosurgeryCenter of Excellence for Technological Innovation in Surgery “ITC”, “Federico II” University School of Medicine
  • Giuseppe Colella
    • Department of Neurological Sciences, Division of NeurosurgeryCenter of Excellence for Technological Innovation in Surgery “ITC”, “Federico II” University School of Medicine
    • Divisione di Neurochirurgia Ed. 16Policlinico Universitario “Federico II”
Surgery

DOI: 10.1007/s10072-011-0709-y

Cite this article as:
Imperato, A., Seneca, V., Cioffi, V. et al. Neurol Sci (2011) 32: 335. doi:10.1007/s10072-011-0709-y

Abstract

There is no effective alternative to surgery in the treatment of the symptomatic cases of chiari malformation. Nonetheless, in literature there is no unanimous consensus about what is the surgical “gold standard” and which are the candidates for surgery. No doubt that intracranial hypertension and ventricular dilatation have to be investigated and treated before considering decompression. It is also very important to keep in mind that a surgery does not guarantee a complete recovery from every symptoms. We report our experience about who are the candidates for surgery, which is the most appropriate surgical technique and when is the correct time for surgery along the natural history of the disease.

Keywords

Chiari malformationSyringomyeliaPosterior fossa decompressionDuraplasty

Copyright information

© Springer-Verlag 2011