Natural history of Chiari type I malformation in children.
In: Neurological Sciences, Jg. 32 (2011-12-02), S. 275-277
Online
academicJournal
Zugriff:
The decision on whether or not to operate children with Chiari type I malformation (CIM) is difficult and controversial, because of the lack of information about the natural evolution of such a disease. Herein, we report on the evolution of 16 asymptomatic children with incidentally diagnosed CIM (mean age: 6.7 years; mean follow-up: 5.8 years). No patients required suboccipital decompression. Thirteen children remained asymptomatic, with stable or improved radiological picture (worsening in 2 cases). Three cases showed appearance of symptoms: one did not require any treatment; the remaining two underwent endoscopic third ventriculostomy because of hydrocephalus, which is a possible consequence of CIM. This analysis shows a favorable natural outcome of CIM in children, thus suggesting a conservative management in asymptomatic cases. However, multicentric studies are required to validate this data. [ABSTRACT FROM AUTHOR]
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Natural history of Chiari type I malformation in children.
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Autor/in / Beteiligte Person: | Massimi, Luca ; Caldarelli, Massimo ; Frassanito, Paolo ; Rocco, Concezio |
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Zeitschrift: | Neurological Sciences, Jg. 32 (2011-12-02), S. 275-277 |
Veröffentlichung: | 2011 |
Medientyp: | academicJournal |
ISSN: | 1590-1874 (print) |
DOI: | 10.1007/s10072-011-0684-3 |
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