Child's Nervous System

, Volume 23, Issue 11, pp 1239–1250

The pediatric Chiari I malformation: a review

  • R. Shane Tubbs
  • Michael J. Lyerly
  • Marios Loukas
  • Mohammadali M. Shoja
  • W. Jerry Oakes
Review Paper

Abstract

Background

Both the diagnosis and treatment regimens for the Chiari I malformation (CIM) are varied and controversial. The present paper analyzes the literature regarding this form of hindbrain herniation in regard to definition, anatomy, pathobiology, symptoms, findings, treatment, and outcomes.

Discussions

Appropriate literature germane to the CIM is reviewed and discussed. There is variation in the reported anatomy, outcome, and treatment for children with CIM. Based on the literature, most patients have preoperative symptoms or findings (e.g., syringomyelia) improve no matter what surgical technique is utilized. However, standardized treatment paradigms based on randomized controlled studies are still necessary to elucidate the optimal selection and treatment criteria.

Keywords

Tonsillar ectopia Hindbrain hernia Neurosurgery 

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • R. Shane Tubbs
    • 1
    • 2
  • Michael J. Lyerly
    • 3
  • Marios Loukas
    • 4
    • 5
  • Mohammadali M. Shoja
    • 6
  • W. Jerry Oakes
    • 1
    • 2
  1. 1.Section of Pediatric Neurosurgery, Children’s HospitalUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Department of Cell BiologyUniversity of Alabama at BirminghamBirminghamUSA
  3. 3.University of Alabama School of MedicineBirminghamUSA
  4. 4.Department of Anatomical SciencesSt. George’s University, GrenadaBostonUSA
  5. 5.Department of Education and DevelopmentHarvard Medical SchoolBostonUSA
  6. 6.Tuberculosis and Lung Disease Research CenterTabriz Medical UniversityTabrizIran

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