Abstract
Under the eponymous definition of Chiari’s malformations are grouped a variety of hindbrain anomalies, which actually differ considerably in terms of embryogenic defect, pathogenesis, clinical manifestations, treatment, and outcome.
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References
Chiari H: Ueber Veränderungen des Kleinhirns infolge von Hydrocephalies des Grosshirns. Dtsch med Wochenschr 17: 1172–1175, 1891.
Chiari H: Ueber Veränderungen des Kleinhirns, Pons und der Medulla Oblongata infolge von kongenitaler Hydrocephalus des Grosshirns. Denkschr Akad Wiss Wien 63: 71–116, 1896.
Cleland J: Contribution to the study of spina bifida, encephalocele, and anencepha- lus. J Anat Physiol 17: 257–291, 1883.
Lebedeff A: Ueber die Entstehung der Anencephalie und Spina bifida bei Vögel und Menschen. Virchows Arch Pathol Anat 8: 263–268, 1881.
Förster Missbildungen des Menschen. Jena, 1861 (quoted by Cleland).
Ahlfeld O: Missbildungen des Menschen, Leipzig, 1882 (quoted by Cleland).
Arnold J: Myelocyste, Transposition von Gewebskeinem und Sympodie. Beitr Pathol Anat Allg Pathol 16: 1–28, 1984.
Schwalbe E, Gredig M: Ueber Entwicklungsstörungen des Kleinhirns, Hirnstamms und Halsmarks bei Spina Bifida (Arnold’sche und Chiari’sche Missbildung). Beitr Pathol Anat Allg Pathol 40: 132–194, 1907.
Barry A, Patten BM, Stewart BH: Possible factors in the development of Arnold-Chiari malformation. J Neurosurg 14: 285–301, 1957.
Bucy PC, Lichtenstein BW: Arnold-Chiari deformity in an adult without obvious cause. J Neurosurg 2: 245–250, 1945.
Caldarelli M, Di Rocco C, Melone DG: Chiari type II malformation: clinical manifestations and indications for decompression. In: McLaurin B (ed): Spina Bifida, Praeger, New York, 1987, pp 174–181.
Emery JL, Levick RK: The movement of the brain stem and vessels around the brain stem in children with hydrocephalus and the Arnold-Chiari deformity. Dev Med Child Neurol (Suppl ll): 49–60, 1966.
Feigin I: Arnold-Chiari malformation with associated analogous malformation of the midbrain. Neurology 6: 22–31, 1956.
Gardner WJ, Goodall RJ: The surgical treatment of Arnold-Chiari malformation in adults. J Neurosurg 7: 199–206, 1950.
Ingraham FD, Scott HW Jr: Spina bifida and cranium bifidum. V. The Arnold-Chiari malformation: a study of 20 cases. N Engl J Med 229: 108–114, 1943.
Jacobs EB, Landing BH, Thomas W: Vernicomyelia. Its bearing on theories of genesis of the Arnold-Chiari complex. Am J Pathol 39: 345–353, 1961.
Lichtenstein BW: Distant neuro-anatomic complications of spina bifida (spinal dys- raphism). Hydrocephalus, Arnold-Chiari deformity, stenosis of the aqueduct of Sylvius, etc.: pathogenesis and pathology. Arch Neurol Psychiatry 47: 195–214, 1942.
Lichtenstein BW: Atresia stenosis of the aqueduct of Sylvius, with comments on the Arnold-Chiari complex. J Neuropathol Exp Neurol 18: 3, 1959.
MacFarlane A, Maloney AFJ: The appearance of the aqueduct and its relationship to hydrocephalus in the Arnold-Chiari malformation. Brain 80: 479–491, 1957.
Malis LI, Cohen I, Gross SW: Arnold-Chiari malformation. Arch Surg 63: 783–798, 1951.
Peach B: Arnold-Chiari malformation. Morphogenesis. Arch Neurol 12: 527–535, 1965.
Appleby A, Foster JB, Hankinson J, Hudgson P: The Chiari anomalies in adult life. Brain 91: 131–139, 1968.
Banerji NK, Millar JHD: Chiari malformation presenting in adult life. Its relationship to syringomyelia. Brain 97: 157–168, 1974.
Brocklehurst G: The pathogenesis of spina bifida; a study of the relationship between observation, hypothesis, and surgical incentive. Dev Med Child Neurol 13: 147, 1971.
Caviness VS Jr: The Chiari malformations of the posterior fossa and their relation to hydrocephalus. Dev Med Child Neurol 18: 103–116, 1976.
Di Rocco C, Caldarelli M: Mielomeningocele. Casa del Libro Editrice, Roma, 1983, p 372.
Di Rocco C, Caldarelli M, Velardi F: Idrocefalo e mielomeningocele. Riv Ital Pediatr 7: 109–114, 1981.
Lapras C, Lofti M: Surgical management of Chiari II malformation in children. Mod Prob Paediatr 18: 142–145, 1977.
Mohr PD, Strang FA, Sambrook MA, et al.: The clinical and surgical features in 40 patients with primary cerebellar ectopia (adult Chiari malformation). Q J Med 181: 85–96, 1977.
Naidich TP, Pudlowski RM, Naidich JB, Gornish M, Rodriguez FJ: Computed tomographic signs of the Chiari II malformation. Part 1: Skull and durai partitions. Radiology 134: 65–71, 1980.
Carmel PW: The Arnold-Chiari malformation. In: Pediatric Neurosurgery. Grune & Stratton, New York, 1982, pp 61–77.
Gardner WJ: The Dysraphic States. Excerpta Medica, Amsterdam, 1973.
Franchinger E, Fankhauser R: Arnold-Chiari Hirnmissbildung mit Spina Bifida und Hydrozephalus beim Kalb. Schweiz Arch Tierheilk 94: 145–149, 1952.
Oakes WJ: Chiari malformations, hydromyelia, syringomyelia. In: Wilkins RH, Rengachary SS (eds): Neurosurgery. McGraw-Hill, New York, 1985, pp 2102–2124.
Gardner WJ: Anatomic features common to Arnold-Chiari and Dandy-Walker malformation suggest a common origin. Cleve Clin Quart 26: 206–222, 1959.
Rhoton AL Jr: Microsurgery of Arnold-Chiari malformations in adults with and without hydromyelia. J Neurosurg 45: 473–483, 1976.
Peach B: Arnold-Chiari malformation with normal spine. Arch Neurol 10: 497–501, 1964.
Carmel PW, Markesbery WR: Arnold-Chiari malformation in an elderly woman. Arch Neurol 21: 258–262, 1969.
Teng P, Papatheodorou G: Arnold-Chiari malformation with normal spine and cranium. Arch Neurol 12: 622–624, 1965.
Verbiest H: The Arnold-Chiari malformation. J Neurol Neurosurg Psychiatry 16: 227–233, 1953.
O’Rahilly R, Muller F: The normal and abnormal development of the nervous system in the early human embryo. Riv Neurosci Pediatr (J Pediatr Neurosci) 2: 89–94, 1986.
Osaka K, Matsumoto S, Tanimura T: Myeloschisis in early human embryos. Child’s Brain 4: 347–359, 1978.
Williams B: Further thoughts on the valvular action of the Arnold-Chiari malformation. Dev Med Child Neurol 13 (Suppl.25): 105, 1974.
Williams B: Chronic herniation of the hindbrain. Ann R Coll Surg Engl 63: 9–17, 1981.
Williams B: Simultaneous cerebral and spinal fluid pressure recordings: H. Cerebrospinal dissociation with lesions at the foramen magnum. Acta Neurochir 59: 123–142, 1981.
Van Houweninge Grafdijk CJ: Over Hydrocephalus. Dissertation, Leiden, 1932.
Cameron AH: The Arnold-Chiari and other neuro-anatomical malformations associated with spina bifida. J Pathol Bacteriol 73: 195–211, 1957.
Van Hoytema GJ, van den Berg R: Embryological studies of the posterior fossa in connection with Arnold-Chiari malformation. Dev Med Child Neurol (Suppl 11 ): 61–76, 1966.
Russell DS, Donald C: The mechanism of internal hydrocephalus in spina bifida. Brain 53: 203–215, 1935.
Calliauw L, Dehaene I: The surgical risk in the treatment of Arnold-Chiari malformations. Acta Neurochir 39: 173–179, 1977.
Ogryzlo MA: Arnold-Chiari malformation. Arch Neurol Psychiatry 48: 30–46, 1942.
Swanson HS, Fincher EF: Arnold-Chiari deformity without bone anomalies. J Neurosurg 6: 314–319, 1949.
McConnell AA, Parker HL: Deformity of hind-brain associated with internal hydrocephalus: its relation to Arnold-Chiari malformation. Brain 61: 415–429, 1938.
Goldstein F, Kepes JJ: The role of traction in the development of the Arnold-Chiari malformation. An experimental study. J Neuropathol Exp Neurol 25: 654, 1966.
Megison L, Norrell HA, Wilson CB: Cephalic venous hypertension in the pathogenesis of infantile hydrocephalus. Surg Forum 18:45-, 1967.
Daniel PM, Strich SJ: Some observations on the congenital deformity of the central nervous system known as the Arnold-Chiari malformation. J Neuropathol Exp Neurol 17: 255–266, 1958.
Kapsenberg JC, van Lookerem Campagne JA: A case of spina bifida combined with diastematomyely, the anomaly of Chiari and hydrocephalus. Acta Anat 7: 366–388, 1949.
Patten BM: Overgrowth of the neural tube in young human embryos. Anat Rec 113: 381–393, 1952.
Lendon RG: An autoradiographic study of induced myelomeningocele. Dev Med Child Neurol 14 (Suppl 27): 80–85, 1972.
Caldarelli M, McLone DG, Collins JA, Suwa J, Knepper PA: Vitamin A induced neural tube defects in the mouse. Concepts Pediatr Neurosurg 6: 161–171, 1985.
Di Rocco C, Rende M: Neural tube defects: some remarks on the possible role of glucosoaminoglycans in the genesis of the spinal malformation, the anomaly in the configuration of the posterior cranial fossa and hydrocephalus. Childs Nerv Syst 3: 334–371, 1987.
McLone DG, Knepper PA: Role of complex carbohydrates and neurulation. Pediatr Neurosci 12: 2–9, 1985–1986.
Marin-Padilla M, Marin-Padilla MT: Morphogenesis of experimentally induced Arnold-Chiari malformation. J Neurol Sci 50: 29–55, 1981.
Richardson RR: Congenital genetic murine (ch) hydrocephalus. 3: Childs Nerv Syst 1: 87–99, 1985.
Di Rocco C, Rende M: Congenital hydrocephalus and mucopolysaccharides. Riv Neurosci Pediatr (J Pediatr Neurosci) 1: 61–67, 1985.
Torack RM, Grave L: Subependymal glycosaminoglycan networks in adult and developing rat brain. Histochemistry 68: 55–65, 1980.
Saez RJ, Onofrio BM, Yanagihara T: Experience with Arnold-Chiari malformation, 1960 to 1970. J Neurosurg 45: 416–422, 1976.
Barnett HJM, Foster JB, Hudgson P: Syringomyelia. WB Saunders, Philadelphia, 1973, p 318.
Sieben RL, Hamida MB, Shulman K: Multiple cranial nerve deficits associated with the Arnold-Chiari malformation. Neurology 21: 673–681, 1971.
Gilbert JN, Jones KL, Rorke LB, Chernoff GF, James HF: Central nervous system anomalies associated with meningomyelocele, hydrocephalus, and the Arnold-Chiari malformation: reappraisal of theories regarding the pathogenesis of posterior neural tube closure defects. Neurosurgery 18: 559–564, 1986.
Schut L, Bruce DA: The Arnold-Chiari malformation. Orthoped Clin North Am 9: 913–921, 1978.
Correa-Restrepo A, Robertson C, Rozdilsky B: Vernix caseosa meningitis and laryngeal stridor in an infant with myelomeningocele: case report. J Neurosurg 42: 718–722, 1975.
Hoffman HJ, Park TS, Hendrick EP, Humphreys RP: Manifestazioni e trattamento della malformazione di Arnold-Chiari nel bambino con mielomeningocele. In: Di Rocco C, Caldarelli M (eds): Mielomeningocele. Casa del Libro Roma, 1983, pp 251–260.
Hoffman HJ, Hendrick EB, Humphreys RP: Manifestations and management of the Arnold-Chiari malformation in patients with myelomeningocele. Child’s Brain 1: 255–259, 1975.
Park TS, Hoffman HJ, Hendrick EB, Humphreys RP: Experience with surgical decompression of the Arnold-Chiari malformation in young infants with myelomeningocele. Neurosurgery 13: 147–152, 1983.
Venes JL, Black KL, Latack JT: Preoperative evaluation and surgical management of the Arnold-Chiari II malformation. J Neurosurg 64: 363–370, 1986.
Wealthall SR, Whittaker GE, Greenwood N: The relationship of apnoea and stridor in spina bifida to other unexplained infant deaths. Dev Med Child Neurol (Suppl) 32: 107–116, 1974.
Peach B: Arnold-Chiari malformation. Anatomic features of 20 cases. Arch Neurol 12: 613–621, 1965.
Kruiff E, Jeff R: Skull abnormalities associated with the Arnold-Chiari malformation. Acta Radiol (Diagn) 5: 9–24, 1966.
Naidich TP, Pudlowski RM, Naidich JB: Computed tomographic signs of Chiari II malformation. II: Midbrain and cerebellum. Radiology 134: 391–398, 1980.
Naidich TP, McLone DG, Fulling KH: The Chiari II malformation. Part IV. The hind- brain deformity. Neuroradiology 25: 179–197, 1983.
De La Paz RL, Brady TJ, Buonanno FS, New PFJ, Kistler JP, McGinnis BD, Pykett IL, Taveras JM: Nuclear magnetic resonance (NMR) imaging of Arnold-Chiari type I malformation with hydromyelia. J Comput Assist Tomogr 7: 126–129, 1983.
Modic MT, Weinstein MA, Pavlicek W, Starnes DL, Duchesneau PM, Boumphrey F, Hardy RJ: Nuclear magnetic resonance imaging of the spine. Radiology 148: 755–762, 1983.
Fitzsimmons JS: Laryngeal stridor and respiratory obstruction associated with myelomeningocele. Dev Med Child Neurol 15: 533–536, 1973.
Krayenbühl H: Evaluation of the different surgical approaches in the treatment of syringomyelia. Clin Neurol Neurosurg 77: 110–128, 1974.
Holinger PC, Holinger LD, Reichert TJ, Holinger PH: Respiratory obstruction and apnea in infants with bilateral abductor vocal cord paralysis, meningomyelocele, hydrocephalus, and Arnold-Chiari malformation. J Pediatr 92: 368–373, 1978.
D’Errico A: The surgical treatment of hydrocephalus associated with spina bifida. Yale J Biol Med 11: 425–430, 1939.
Carmel PW: Management of the Chiari malformations in childhood. Clin Neurosurg 30: 385–406, 1983.
Crosby RMN, Paul RL, Kosnik EJ: Surgical treatment of hydrocephalus caused by Arnold-Chiari malformation in infants and young children. Surg 38: 377–379, 1972.
Paul KS, Lye RH, Strang FA, Dutton J: Arnold-Chiari malformation: review of 71 cases. J Neurosurg 58: 183–187, 1983.
Wickramasinghe SF, Eckstein H-B, Nixon HH: Posterior fossa decompression in shunt-treated hydrocephalic children. Dev Med Child Neurol (Suppl 15 ): 11–13, 1968.
Adams RD, Schatzki R, Scoville WB: Arnold-Chiari malformation: diagnosis, demonstration by intraspinal lipiodol and successful surgical treatment. N Engl J Med 225: 125–131, 1941.
Lemire RL, Shepard TH, Alvord EC: Caudal myeloschisis (lumbosacral spina bifida cystica) in a five millimeter (horizon XIV) human embryo. Anat Ree 152: 9–16, 1965.
Papasozomenos S, Roessman U: Respiratory distress and Arnold-Chiari malformation. Neurology 31: 97–100, 1981.
Penfield W, Coburn DF: Arnold-Chiari malformation and its operative treatment. Arch Neurol Psychiatry 40: 328–336, 1938.
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Di Rocco, C., Rende, M. (1989). Chiari Malformations. In: Raimondi, A.J., Choux, M., Di Rocco, C. (eds) The Pediatric Spine II. Principles of Pediatric Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8829-6_3
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DOI: https://doi.org/10.1007/978-1-4613-8829-6_3
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