Chiari I Malformation, An Issue of Neurosurgery Clinics of North America

1st Edition, Volume 34-1 - November 23, 2022
Editors: David D. Limbrick, Jeffrey Leonard
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 8 5 5 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 8 5 6 - 3

In this issue of Neurosurgery Clinics, guest editors Drs. David D. Limbrick and Jeffrey Leonard bring their considerable expertise to Chiari I Malformation. Top experts in the… Read more

Chiari I Malformation, An Issue of Neurosurgery Clinics of North America

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In this issue of Neurosurgery Clinics, guest editors Drs. David D. Limbrick and Jeffrey Leonard bring their considerable expertise to Chiari I Malformation. Top experts in the field cover key topics such as comorbidities associated with Chiari I malformation; orthostatic intolerance and Chiari I malformation; clinical manifestations of Chiari I malformation; imaging in Chiari I malformation; posterior fossa decompression for Chiari I malformation; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
The Nomenclature of Chiari Malformations
Key points
Introduction
Chiari 1
Chiari 0
Chiari 0.5
Chiari 1.5
Chiari 2
Chiari 3 and 3.5
Chiari 4
Discussion
Clinics care points
Disclosure
Epidemiology of Chiari I Malformation and Syringomyelia
Key points
Epidemiology of Chiari I malformation
Epidemiology of syringomyelia associated with Chiari malformation
Age and Chiari malformation and syringomyelia
Natural history
Summary
Clinics care points
Disclosure
Sociodemographics of Chiari I Malformation
Key points
Introduction
Cost
Sociodemographic factors
Summary
Clinics care points
Clinical Manifestations of Chiari I Malformation
Key points
Introduction
Approach
Asymptomatic Chiari 1 malformation
Symptomatic Chiari 1 malformation
Compression of the Cervicomedullary Junction
Clinical presentation during the neonatal period and infancy (age 0–3 years)
Clinical presentation in toddlers (age 3–5 years)
Clinical presentation during childhood and adolescence (age 5 years and older)
Clinical presentation in adults
Clinical conditions associated with Chiari I malformation
Rare and acute presentations of Chiari I malformation in children
Summary
Clinics care points
Disclosure
Chiari I Malformation and Sleep-Disordered Breathing
Key points
Introduction
Pathophysiology
Evaluation
Management
Summary
Clinics care points
Orthostatic Intolerance and Chiari I Malformation
Key points
Introduction
The normal and abnormal responses to orthostatic stress
Presentation of orthostatic intolerance in Chiari malformation
Evaluation of orthostatic intolerance
Therapeutic options
Summary
Clinics care points
Disclosure
Elucidating the Genetic Basis of Chiari I Malformation
Key points
Background
Heritability of Chiari malformation type 1
Genetic epidemiology of Chiari malformation type 1
Previous human genetics studies of Chiari malformation type 1
Recent genetic studies of Chiari malformation type 1
Future directions: Chiari malformation type 1 genetics
Clinics care points
Chiari I Malformations and the Heritable Disorders of Connective Tissue
Key points
Heritable Disorders of Connective Tissue
Chiari I malformations and the heritable disorders of connective tissue
Summary
Disclosures
Imaging in Chiari I Malformation
Key points
Introduction and definitions
Discussion
Summary
Clinics care points
Cerebrospinal Fluid Hydrodynamics in Chiari I Malformation and Syringomyelia: Modeling Pathophysiology
Key points
Introduction
History
Definitions
Background
Observations
Research
Current evidence
Clinical relevance
Summary
Clinics care points
Adult Chiari Malformation Type I: Surgical Anatomy, Microsurgical Technique, and Patient Outcomes
Key points
Introduction
Chiari I malformation definitions
Epidemiology and demographics
Risk factors
Surgical anatomy in patients with Chiari malformation type I
Microsurgical technique
Patient outcomes
Complications
Illustrative cases
Summary
Clinics care points
Supplementary data
Posterior Fossa Decompression with or Without Duraplasty for Chiari I Malformation
Key points
Introduction
Differences in operative technique
Outcomes after posterior fossa decompression without duraplasty or posterior fossa decompression with duraplasty
Adjunct procedures to posterior fossa decompression without duraplasty/posterior fossa decompression with duraplasty
Summary
Clinics care points
Short-Term and Long-Term Complications Associated with Posterior Fossa Decompression for Chiari Malformation
Key points
Introduction
Diagnosis
Summary
Clinics care points
Management of Ventral Brainstem Compression in Chiari Malformation Type I
Key points
Introduction
Osseoligamentous pathology associated with VBC and CM-I
Surgical treatment strategies
Clinics care points
Craniovertebral Junction Instability in the Setting of Chiari Malformation
Key points
Introduction
Embryology, anatomy, and biomechanics of the craniovertebral junction
Scope of the problem
Radiographic, etiologic, and clinical factors associated with Chiari/craniovertebral junction instability
Surgical technique
Discussion
Clinics care points
Disclosure
Complex Chiari Malformations: Diagnosis, Evaluation, and Treatment
Key points
Introduction
Clinical decision-making
Surgical management
Summary
Clinics care points
Copyright statement
Spine Deformity Associated with Chiari I Malformation and Syringomyelia
Key points
Background
Initial workup and diagnostic studies
Treatment
Summary
Role of Chiari Decompression in Managing Spinal Deformity Associated with Chiari I Malformation and Syringomyelia
Key points
Introduction
Scoliosis and CM-I with and without syringomyelia
Summary
Clinics care points
Disclosure
Assessing Clinical Outcome Measures in Chiari I Malformation
Key points
Introduction
Adults
Pediatrics
Discussion
Summary
Idiopathic Intracranial Hypertension and Vascular Anomalies in Chiari I Malformation
Key points
Introduction
Summary
Clinics care points
Disclosure
Cerebrospinal Fluid Leaks, Spontaneous Intracranial Hypotension, and Chiari I Malformation
Key points
Introduction
Epidemiology and clinical features
Pathophysiology
Diagnosis
Treatment
Distinguishing Chiari malformation and spontaneous intracranial hypotension
Disclosure

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Chiari I Malformation, An Issue of Neurosurgery Clinics of North America

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David D. Limbrick

Jeffrey Leonard