Precise Management of Chiari Malformation with Type I

Fuyou Guo; Mehmet Turgut

doi:10.3389/fsurg.2022.850879

Precise Management of Chiari Malformation with Type I

Front Surg. 2022 Mar 28:9:850879. doi: 10.3389/fsurg.2022.850879. eCollection 2022.

Authors

Fuyou Guo^{1

2}, Mehmet Turgut^{2

3

4}

Affiliations

¹ Department of Neurosurgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
² Henan International Joint Laboratory of Nervous System Malformation, Zhengzhou, China.
³ Department of Neurosurgery, Aydın Adnan Menderes University Faculty of Medicine, Efeler, Aydın, Turkey.
⁴ Department of Histology and Embryology, Aydın Adnan Menderes University Health Sciences Institute, Efeler, Aydın, Turkey.

Abstract

Diagnosis of Chirai malformation type I (CM-I) is based on magnetic resonance imaging of the brain or cervical spinal cord. The main goal of surgery is to relieve the blockage to the free pulsatile flow of cerebrospinal fluid beyond the foramen magnum and to stop the progression of a syringomyelia. Despite recent advances in imaging and surgery, even today, there is no consensus on optimal management of CM-I. Ongoing focus is devoted to a better consideration of the pathophysiology of CM-I and the development of more effective medical and surgical treatments. It is hoped that proposed algorithm helps the neurosurgeon to provide a precise management for patients with CM-I in advance.

Keywords: algorithm; chiari malformation; imaging; management; surgery.

Publication types

Review