Neurological Sciences

, Volume 32, Supplement 3, pp 335–339 | Cite as

Treatment of Chiari malformation: who, when and how

  • Alessia Imperato
  • Vincenzo Seneca
  • Valentina Cioffi
  • Giuseppe Colella
  • Michelangelo Gangemi


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.


Chiari malformation Syringomyelia Posterior fossa decompression Duraplasty 


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Alessia Imperato
    • 1
  • Vincenzo Seneca
    • 1
  • Valentina Cioffi
    • 1
  • Giuseppe Colella
    • 1
  • Michelangelo Gangemi
    • 2
  1. 1.Department of Neurological Sciences, Division of NeurosurgeryCenter of Excellence for Technological Innovation in Surgery “ITC”, “Federico II” University School of MedicineNaplesItaly
  2. 2.Divisione di Neurochirurgia Ed. 16Policlinico Universitario “Federico II”NaplesItaly

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