Chiari Type 1 Malformation and Syringomyelia in Children: Classification and Treatment Options.

Jehuda Soleman, Jonathan Roth, Shlomi Constantini
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引用次数: 0

Abstract

Chiari type 1 malformation (CIM) is defined as tonsillar ectopia of >5 mm, while syringomyelia (SM) is defined as a cerebrospinal fluid (CSF)-filled cavity larger than 3 mm dissecting the spinal cord. Over the last decades, our understanding of these pathologies has grown; however, many controversies still exist almost in every aspect of CIM and SM, including etiology, indication for treatment, timing of treatment, surgical technique, follow-up regime, and outcome. This chapter provides a comprehensive overview on different aspects of CIM and SM and on the still existing controversies, based on the evidence presently available. Future directions for clinical research concerning CIM and SM treatment and outcome are elaborated and discussed as well.

儿童Chiari 1型畸形和脊髓空洞症:分类和治疗方案。
Chiari 1型畸形(CIM)被定义为>5毫米的扁桃体异位,而脊髓空洞症(SM)被定义为由脑脊液(CSF)填充的大于3毫米的空腔解剖脊髓。在过去的几十年里,我们对这些病理学的理解不断加深;然而,CIM和SM几乎在各个方面都存在许多争议,包括病因、治疗指征、治疗时机、手术技术、随访制度和结果。本章根据现有证据,对CIM和SM的不同方面以及仍然存在的争议进行了全面概述。还阐述和讨论了CIM和SM治疗和结果的未来临床研究方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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