Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation: Symptoms

被引：2

作者：

Jackson, Eric M. ^{[1
]}

Jernigan, Sarah ^{[2
]}

Raskin, Jeffrey S. ^{[3
]}

Ackerman, Laurie L. ^{[4
]}

Infinger, Libby Kosnik ^{[5
]}

Maher, Cormac O. ^{[6
]}

Niazi, Toba ^{[7
]}

Pattisapu, Jogi V. ^{[8
]}

Qaiser, Rabia ^{[9
]}

Quinsey, Carolyn ^{[10
]}

Rocque, Brandon G. ^{[11
]}

Silberstein, Howard ^{[12
]}

Vachhrajani, Shobhan ^{[13
]}

Bauer, David F. ^{[14
,15
]}

机构：

[1] Johns Hopkins Univ, Dept Neurosurg, Sch Med, Baltimore, MD USA

[2] Carolina Neurosurg & Spine Associates, Charlotte, NC USA

[3] Northwestern Univ, Dept Neurol Surg, Feinberg Sch Med, Chicago, IL USA

[4] Indiana Univ Hlth, Dept Neurol Surg, Indianapolis, IN USA

[5] Med Univ South Carolina MUSC, Dept Neurosurg, Charleston, SC USA

[6] Stanford Med, Dept Neurosurg, Palo Alto, CA USA

[7] Nicklaus Childrens Hosp, Dept Neurol Surg, Miami, FL USA

[8] Univ Cent Florida, Pediat Neurosurg, Coll Med, Orlando, FL USA

[9] Indiana Univ Sch Med, Dept Neurol Surg, Indianapolis, IN USA

[10] Univ N Carolina, Dept Neurosurg, Chapel Hill, NC USA

[11] Univ Alabama Birmingham, Dept Neurosurg, Div Pediat Neurosurg, Birmingham, AL USA

[12] Univ Rochester, Dept Neurosurg, Sch Med & Dent, Rochester, NY USA

[13] Wright State Univ, Dept Pediat, Boonshoft Sch Med, Dayton, OH USA

[14] Baylor Coll Med, Dept Neurosurg, Houston, TX USA

[15] Texas Childrens Hosp, Div Pediat Neurosurg, Houston, TX USA

来源：

NEUROSURGERY | 2023年 / 93卷 / 04期

关键词：

Chiari I malformation; Guidelines; Systematic review; Treatment; Symptoms; Screening; Activity restriction; I-MALFORMATION; SUBOCCIPITAL DECOMPRESSION; SPORTS PARTICIPATION; CHILDREN; OUTCOMES; HEADACHE; EXPERIENCE; MRI;

D O I：

10.1227/neu.0000000000002634

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND: Chiari I malformation (CIM) is characterized by descent of the cerebellar tonsils through the foramen magnum, potentially causing symptoms from compression or obstruction of the flow of cerebrospinal fluid. Diagnosis and treatment of CIM is varied, and guidelines produced through systematic review may be helpful for clinicians.OBJECTIVE: To perform a systematic review of the medical literature to answer specific questions on the diagnosis and treatment of CIM.METHODS: PubMed and Embase were queried between 1946 and January 23, 2021, using the search strategies provided in Appendix I of the full guidelines.RESULTS: The literature search yielded 430 abstracts, of which 79 were selected for full-text review, 44 were then rejected for not meeting the inclusion criteria or for being off-topic, and 35 were included in this systematic review.CONCLUSION: Four Grade C recommendations were made based on Class III evidence, and 1 question had insufficient evidence. The full guidelines can be seen online at https://www.cns.org/guidelines/browse-guidelines-detail/2-symptoms.

引用

页码：727 / 730

页数：4

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