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Published on: October 20, 2017
Complex Chiari Malformations: Diagnosis, Evaluation, and Treatment
Vijay M Ravindra1, Douglas L Brockmeyer2
1Department of Neurosurgery, Naval Medical Readiness Training Command, San Diego, CA, USA; Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT, USA; Department of Neurosurgery, University of California San Diego, San Diego, CA, USA.
Abstract:
The term "complex Chiari malformation" (CCM) refers to a subset of clinical and radiographic findings that describe a subpopulation of Chiari patients with craniocervical kyphosis and secondary brainstem compression. These patients are at a greater risk for unsuccessful surgical treatment with standard Chiari surgical decompressive procedures and may require craniocervical fusion and/or odontoid resection. This article reviews concepts related to the diagnosis, management, and treatment of CCM and discusses possible directions for future research.
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