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Neurosurg Clin N Am. 2015 Oct;26(4):555-60. doi: 10.1016/j.nec.2015.06.002. Epub 2015 Aug 4.

Complex Chiari Malformations in Children: Diagnosis and Management.

Author information

1
Division of Pediatric Neurosurgery, Primary Children's Hospital, University of Utah, 100 Mario Capecchi Drive, Salt Lake City, UT 84113, USA. Electronic address: Douglas.Brockmeyer@hsc.utah.edu.
2
Division of Pediatric Neurosurgery, Primary Children's Hospital, University of Utah, 100 Mario Capecchi Drive, Salt Lake City, UT 84113, USA.

Abstract

This article describes the diagnosis and management of patients with complex Chiari malformations. This group of patients cannot be categorized as a Chiari 1 or 1.5 because the pathology and progression of their disease is unique. The authors discuss how to diagnose and treat patients with complex Chiari malformations, particularly with regard to discerning which patients would benefit from a simple Chiari decompression versus Chiari decompression with occipitocervical fusion.

KEYWORDS:

Basilar invagination; Clivocervical angle; Complex Chiari; Retroflexed odontoid

PMID:
26408065
DOI:
10.1016/j.nec.2015.06.002
[Indexed for MEDLINE]

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