Adult Chiari Malformation Type I: Surgical Anatomy, Microsurgical Technique, and Patient Outcomes

Alisa Arnautovic; Mirza Pojskić; Kenan I Arnautović

doi:10.1016/j.nec.2022.09.004

Adult Chiari Malformation Type I: Surgical Anatomy, Microsurgical Technique, and Patient Outcomes

Neurosurg Clin N Am. 2023 Jan;34(1):91-104. doi: 10.1016/j.nec.2022.09.004.

Authors

Alisa Arnautovic¹, Mirza Pojskić², Kenan I Arnautović³

Affiliations

¹ George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
² Department of Neurosurgery, University of Marburg, Marburg, Germany; Faculty of Medicine, Josip Juraj Strossmayer University, Osijek, Croatia.
³ Department of Neurosurgery, Semmes Murphey Neurologic & Spine Institute, University of Tennessee Health Science Center, 6325 Humphreys Boulevard, Memphis, TN 38120, USA. Electronic address: kenanarnaut@yahoo.com.

PMID: 36424069
DOI: 10.1016/j.nec.2022.09.004

Abstract

In this study, the authors summarize the current knowledge on epidemiology, demographics, risk factors, and prognostic factors that influence outcomes in patients with adult Chiari malformation type I (CM-I) who underwent posterior fossa decompression surgery with duraplasty. Furthermore, they describe the contribution of their research group to the field of adult CM-I treatment, including association of increased body mass index with severity of CM-I and syringomyelia, relevant surgical anatomy, and surgical technique of 270° microsurgical decompression of foramen magnum. The authors also report on common complications in the literature and describe techniques for prevention of complications.

Keywords: 270° decompression; Adult Chiari malformation; Suboccipital ligament.

Publication types

Review

MeSH terms

Adult
Arnold-Chiari Malformation* / complications
Arnold-Chiari Malformation* / surgery
Decompression, Surgical / methods
Foramen Magnum / surgery
Humans
Plastic Surgery Procedures*
Syringomyelia* / complications
Syringomyelia* / surgery