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The Chiari Malformation in Adults

Published online by Cambridge University Press:  18 September 2015

F.B. Maroun*
Affiliation:
Divisions of Neurosurgery and Neurology and the Department of Radiology, General Hospital, St. John’s, Newfoundland, Canada
J.C. Jacob
Affiliation:
Divisions of Neurosurgery and Neurology and the Department of Radiology, General Hospital, St. John’s, Newfoundland, Canada
M. Mangan
Affiliation:
Divisions of Neurosurgery and Neurology and the Department of Radiology, General Hospital, St. John’s, Newfoundland, Canada
*
114 Empire Ave., St. John’s, Newfoundland, A1C 3G2 Canada
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Summary:

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The clinical features of the Chiari Malformation in seven adult patients are presented. It is suggested that the clinical syndromes associated with this malformation, in adults, can be classified as (a) compression of structures at the level of the foramen magnum (with or without radiologically demonstrable associated bony anomaly at the cranio-vertebral junction) (b) increased intracranial pressure or obstructive hydrocephalus and (c) intramedullary cervical cord syndrome. The usefulness of tomography, and demonstration of the vertebro-basilar circulation in the neuro-radiologic investigation of these patients is emphasized. The surgical procedures performed in the management of these patients are outlined.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1975

References

REFERENCES

Appleby, A., Foster, J.B., Hankinson, J. and Hudgson, P. (1968). The Diagnosis and Management of the Chiari Anomalies in Adult Life. Brain, 91: 131140.CrossRefGoogle ScholarPubMed
Arling, C.D. (1938). Cerebellar Syndrome in an Adult with Malformation of the Cerebellum and Brainsteam (Arnold-Chiari Deformity) with a note on the occurrence of “torpedoes” in the cerebellum. Journal of Neurology, Neurosurgery and Psychiatry, 1: 100109.CrossRefGoogle Scholar
Ball, M.J., and Dayan, A.D. (1972). Pathogenesis of Syringomyelia. Lancet 2: 799801.CrossRefGoogle ScholarPubMed
Banerji, N.K. and Millar, J.H.D. (1974). Chiari Malformation presenting in Adult Life. Its relationship to syringomyelia. Brain, 97: 157168.CrossRefGoogle ScholarPubMed
Bucy, P.C., Lichtenstein, B.W. (1945). Arnold Chiari Deformity in adult without obvious cause. Journal of Neurosurgery, 2: 225250.CrossRefGoogle Scholar
Carmel, P.W., and Markesbery, W.R. (1969). Arnold-Chiari Malformation in an Elderly woman. Archives of Neurology, 21: 259262.CrossRefGoogle ScholarPubMed
Gardner, W.J. and Goodall, R.J. (1950). The Surgical Treatment of Arnold-Chiari Malformation in Adults. Journal of Neurosurgery, 7: 199206.CrossRefGoogle ScholarPubMed
Gardner, W.J.Abdullah, A.F. and McCormack, L.J. (1957). The Varying Expressions of Embroyonal Atresia of the Fourth Ventricle in Adults. Journal of Neurosurgery, 14: 591605.CrossRefGoogle Scholar
Hankinson, J. (1970). Syringomeylia and the Surgeon. Modern Trends in Neurology. Volume 5. Chapter 7: PP 127148. London, Butterworth.Google Scholar
Hurteau, E.F. (1950). Arnold-Chiari Malformation. Journal of Neurosurgery, 7: 282284.CrossRefGoogle ScholarPubMed
McConnell, A.A. and Parker, H.L. (1938). A deformity of the Hindbrain Associated with Internal Hydrocephalus. Its relation to the Arnold-Chiari Malformation. Brain, 61: 415429.CrossRefGoogle Scholar
Ogryzlo, M.A. (1942). The Arnold-Chiari Malformation. Archives of Neurology and Psychiatry, (Chicago) 48: 3046.CrossRefGoogle Scholar
Ray, B.S. (1942). Platysblasia with Involvement of the Central Nervous System. Annals of Surgery, 116: 231250.CrossRefGoogle ScholarPubMed
Spillane, J.D., Pallis, C., and Jones, A.M. (1957). Developmental Abnormalities in the Region of the Foramen Magnum. Brain, 80, 1148.CrossRefGoogle ScholarPubMed
Teng, P., and Papatheodorou, C. (1965). Arnold-Chiari Malformation with Normal Spine and Cranium. Archives of Neurology, 12: 622624.CrossRefGoogle ScholarPubMed