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Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation: Symptoms.
Jackson, Eric M; Jernigan, Sarah; Raskin, Jeffrey S; Ackerman, Laurie L; Infinger, Libby Kosnik; Maher, Cormac O; Niazi, Toba; Pattisapu, Jogi V; Qaiser, Rabia; Quinsey, Carolyn; Rocque, Brandon G; Silberstein, Howard; Vachhrajani, Shobhan; Bauer, David F.
Affiliation
  • Jackson EM; Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore , Maryland , USA.
  • Jernigan S; Carolina Neurosurgery & Spine Associates, Charlotte , North Carolina , USA.
  • Raskin JS; Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago , Illinois , USA.
  • Ackerman LL; Department of Neurological Surgery, Indiana University Health, Indianapolis , Indiana , USA.
  • Infinger LK; Department of Neurosurgery, Medical University of South Carolina (MUSC), Charleston , South Carolina , USA.
  • Maher CO; Department of Neurosurgery, Stanford Medicine, Palo Alto , California , USA.
  • Niazi T; Department of Neurological Surgery, Nicklaus Children's Hospital, Miami , Florida , USA.
  • Pattisapu JV; Pediatric Neurosurgery, University of Central Florida College of Medicine, Orlando , Florida , USA.
  • Qaiser R; Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis , Indiana , USA.
  • Quinsey C; Department of Neurosurgery, University of North Carolina Chapel Hill, Chapel Hill , North Carolina , USA.
  • Rocque BG; Division of Pediatric Neurosurgery, Department of Neurosurgery, University of Alabama at Birmingham, Birmingham , Alabama , USA.
  • Silberstein H; Department of Neurosurgery, University of Rochester School of Medicine and Dentistry, Rochester , New York , USA.
  • Vachhrajani S; Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton , Ohio , USA.
  • Bauer DF; Department of Neurosurgery, Baylor College of Medicine, Houston , Texas , USA.
Neurosurgery ; 93(4): 727-730, 2023 10 01.
Article in En | MEDLINE | ID: mdl-37646519
ABSTRACT

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 .
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Arnold-Chiari Malformation / Neurosurgeons Type of study: Diagnostic_studies / Guideline / Systematic_reviews Limits: Humans Language: En Journal: Neurosurgery Year: 2023 Document type: Article Affiliation country:
Fulltext
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Arnold-Chiari Malformation / Neurosurgeons Type of study: Diagnostic_studies / Guideline / Systematic_reviews Limits: Humans Language: En Journal: Neurosurgery Year: 2023 Document type: Article Affiliation country: