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

被引：5

作者：

Bauer, David F. ^{[1
,2
,16
]}

Niazi, Toba ^{[3
]}

Qaiser, Rabia ^{[4
]}

Infinger, Libby Kosnik ^{[5
]}

Vachhrajani, Shobhan ^{[6
]}

Ackerman, Laurie L. ^{[7
]}

Jackson, Eric M. ^{[8
]}

Jernigan, Sarah ^{[9
]}

Maher, Cormac O. ^{[10
]}

Pattisapu, Jogi V. ^{[11
]}

Quinsey, Carolyn ^{[12
]}

Raskin, Jeffrey S. ^{[13
]}

Rocque, Brandon G. ^{[14
]}

Silberstein, Howard ^{[15
]}

机构：

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

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

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

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

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

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

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

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

[9] Carolina Neurosurg & Spine Assoc, Charlotte, NC USA

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

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

[12] Univ North Carolina Chapel Hill, Dept Neurosurg, Chapel Hill, NC USA

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

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

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

[16] Baylor Coll Med, Dept Neurosurg, 7200 Cambridge St Ste 9B, Houston, TX 77030 USA

来源：

NEUROSURGERY | 2023年 / 93卷 / 04期

关键词：

Chiari; Diagnosis; Guideline; Systematic review; Treatment; I MALFORMATION; SURGICAL DECOMPRESSION; CHILDREN; SYRINX; FLOW; ASSOCIATION; CEREBELLAR; EXPERIENCE; MANAGEMENT; RESOLUTION;

D O I：

10.1227/neu.0000000000002633

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 567 abstracts, of which 151 were selected for full-text review, 109 were then rejected for not meeting the inclusion criteria or for being off-topic, and 42 were included in this systematic review.CONCLUSION: Three Grade C recommendations were made based on Level III evidence. The full guidelines can be seen online at https://www.cns.org/guidelines/browse-guidelines-detail/1-imaging.

引用

页码：723 / 726

页数：4

共 40 条

[1] Cerebrospinal fluid velocity amplitudes within the cerebral aqueduct in healthy children and patients with Chiari I malformation [J].