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Child's Nervous System

, Volume 24, Issue 3, pp 407–409 | Cite as

Hans Chiari (1851–1916)

  • Marios Loukas
  • Nima Noordeh
  • Mohammadali M. Shoja
  • Jeffrey Pugh
  • W. Jerry Oakes
  • R. Shane Tubbs
Classics in Pediatric Neurosurgery

Abstract

Introduction

Hans Chiari will ever be remembered in neurosurgery for his paper (Ueber Veränderungen des Kleinhirns infolge von Hydrocephalie des Grosshirns) describing what is now regarded as the Chiari malformations in 1891.

Contributions

In 1899 and in conjunction with British internist George Budd, he described hepatic vein thrombosis now known as Budd–Chiari syndrome. Among his other accomplishments, he studied the relationship between carotid artery plaques and thrombosis. Chiari is also remembered by the eponym Chiari's network, which is a network of fine fibers extending from the Thebesian to Eustachian valves in the heart. In 1883, he demonstrated a fistulous connection between a pneumatocele in the frontal lobes and the ethmoid sinuses in a patient who died of meningitis following rhinorrhea and thus first indicated a mechanism to explain meningitis in this context. Chiari also made significant contributions with his observations of pituitary adenomas. It is the works of Hans Chiari on which we base many of our current understandings of the pathology of the nervous system.

Keywords

History Craniocervical junction Brain Neurosurgery 

References

  1. 1.
    Ashwal S (1990) Founders of child neurology. Norman, San Francisco, p 190Google Scholar
  2. 2.
    Bejjani GK (2001) Definition of the adult Chiari malformation: a brief historical overview. Neurosurg Focus 11:1–8CrossRefGoogle Scholar
  3. 3.
    Carmel PW, Markesbery WR (1972) Early descriptions of the Arnold–Chiari malformation. The contribution of John Cleland. J Neurosurg 37:543–547PubMedGoogle Scholar
  4. 4.
    Chiari H (1891) Ueber Veränderungen des Kleinhirns infolge von Hydrocephalie des Grosshirns. Dtsch Med Wochenschr 17:1172–1175CrossRefGoogle Scholar
  5. 5.
    Chiari H (1896) Ueber Veranderungen des Kleinhirns, des Pons und der Medulla oblongata Infolge von congenitaler Hydrocephalie des Grosshirns. Denkschriften Kais Akad Wiss Math-Naturw 63:71–116Google Scholar
  6. 6.
    Cleland J (1883) Contribution to the study of spina bifida, encephalocele, and anencephalus. J Anat Physiol London 17:257–291Google Scholar
  7. 7.
    Greenblatt SH (1997) A history of neurosurgery in its scientific and professional contexts. American Association of Neurological Surgeons, Park RidgeGoogle Scholar
  8. 8.
    Howard JM, Hess W (2002) History of the pancreas: mysteries of a hidden organ. Plenum, New York, pp 183–184Google Scholar
  9. 9.
    Koehler PJ (1991) Chiari's description of cerebellar ectopy (1891) with a summary of Cleland's and Arnold's contributions and some early observation on neural-tube defects. J Neurosurg 75:823–826PubMedGoogle Scholar
  10. 10.
    Pearce JMS (2003) Fragments of neurological history. Imperial College Press, London, pp 395–398Google Scholar
  11. 11.
    Phillips WP (2003) Companion to clinical neurology 2nd edn. Oxford University Press, London, p 183Google Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Marios Loukas
    • 1
  • Nima Noordeh
    • 1
  • Mohammadali M. Shoja
    • 3
  • Jeffrey Pugh
    • 2
  • W. Jerry Oakes
    • 2
  • R. Shane Tubbs
    • 2
  1. 1.Department of Anatomical SciencesSchool of Medicine, St. George’s UniversitySt. George’sGrenada
  2. 2.Section of Pediatric NeurosurgeryChildren’s HospitalBirminghamUSA
  3. 3.Tuberculosis and Lung Disease InstituteTabriz Medical UniversityTabrizIran

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