Chiari I Deformity: Beyond 5 mm below the Foramen Magnum

医学 大孔 畸形 解剖 放射科
作者
James Ryan Loftus,Catherine Wassef,Shehanaz Ellika
出处
期刊:Radiographics [Radiological Society of North America]
卷期号:44 (9) 被引量:1
标识
DOI:10.1148/rg.230227
摘要

Although originally described as a consecutive series of pathologic changes, Chiari syndrome represents a spectrum of disease divided into two subsets: development deformities of the paraxial mesoderm manifesting after birth (types 0-1.5) and true congenital malformations due to failure of neural tube closure present in utero (types 2-5). Heterogeneity among patients with a Chiari deformity and incomplete understanding of its pathophysiologic characteristics have led to inconsistency in radiologic reporting and difficulty in defining appropriate management strategies tailored to an individual patient's condition. The radiologist is tasked with going beyond the criteria for cerebellar tonsillar herniation to define an individual patient's disease state, determine candidacy for surgery, and assist in selecting the proper surgical approach. In addition, the radiologist must be able to identify conditions that result in cerebellar tonsillar herniation that are not related to Chiari deformity to avoid inappropriate surgery. Last, the radiologist must be able to interpret postoperative imaging examinations to assess for adequacy of treatment and complications. The authors summarize recent literature regarding the pathophysiologic basis of Chiari 1 and related deformities and detail the ideal morphologic and physiologic imaging assessment, focusing on Chiari 1 and related deformities (Chiari 0, 0.5, and 1.5). Also discussed are surgical techniques and "pearls" of postsurgical imaging, including complications that must be recognized. This review provides clarity to a commonly encountered but less understood condition to optimize outcomes for patients with Chiari 1 and related deformities.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
zokor完成签到 ,获得积分0
2秒前
努力退休小博士完成签到 ,获得积分10
3秒前
橙子完成签到,获得积分10
4秒前
陈补天完成签到 ,获得积分10
5秒前
CipherSage应助慧灰huihui采纳,获得10
6秒前
乐观健柏完成签到,获得积分10
7秒前
9秒前
CodeCraft应助大橙子采纳,获得10
9秒前
量子星尘发布了新的文献求助10
10秒前
jeeya完成签到,获得积分10
11秒前
13秒前
科目三应助科研通管家采纳,获得10
13秒前
科目三应助科研通管家采纳,获得10
13秒前
伦语发布了新的文献求助10
13秒前
顾矜应助科研通管家采纳,获得10
13秒前
xuzj应助科研通管家采纳,获得10
13秒前
xuzj应助科研通管家采纳,获得10
13秒前
13秒前
NexusExplorer应助科研通管家采纳,获得10
13秒前
13秒前
13秒前
丘比特应助科研通管家采纳,获得10
14秒前
yull完成签到,获得积分10
14秒前
小巧书雪完成签到,获得积分10
17秒前
大大怪将军完成签到,获得积分10
18秒前
哈哈哈完成签到 ,获得积分0
18秒前
小怪完成签到,获得积分10
19秒前
爱吃泡芙完成签到,获得积分10
20秒前
白桃战士完成签到,获得积分10
21秒前
23秒前
qingchenwuhou完成签到 ,获得积分10
23秒前
XXX完成签到,获得积分10
24秒前
锡嘻完成签到 ,获得积分10
24秒前
25秒前
彗星入梦完成签到 ,获得积分10
25秒前
恋恋青葡萄完成签到,获得积分10
25秒前
隐形万言完成签到,获得积分10
27秒前
Time完成签到,获得积分10
27秒前
土木研学僧完成签到,获得积分10
28秒前
yjy完成签到 ,获得积分10
28秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038201
求助须知:如何正确求助?哪些是违规求助? 3575940
关于积分的说明 11373987
捐赠科研通 3305747
什么是DOI,文献DOI怎么找? 1819274
邀请新用户注册赠送积分活动 892662
科研通“疑难数据库(出版商)”最低求助积分说明 815022