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Toward a rational treatment of Chiari I malformation and syringomyelia

Richard G. Ellenbogen, Rocco A. Armonda, Dennis W. W. Shaw, H. Richard Winn
2000 Neurosurgical Focus  
Chiari I malformation, as defined by tonsillar ectopia located below the foramen magnum, is being increasingly identified as a result of advances in MR imaging. 3 Consequently, more patients with poorly defined complaints are seeking treatment based on evaluation of an MR image study. The malformation appears to be complex in its presentation, cause, and natural history. 24 Furthermore, there is a wide spectrum of surgical treatments for Chiari I malformation and syringomyelia. These factors
more » ... a. These factors further complicate our ability to identify appropriate patients who will benefit from surgical treatment. Currently there are over 20 different practiced operations directed at improving the aberrant CSF dynamics thought to be a major coponent of this malformation.
doi:10.3171/foc.2000.8.3.6 pmid:16676929 fatcat:572dznzw7jb6rmfaggy7hudkvu