TY - JOUR
T1 - Evaluation and management of the Chiari malformation type 1 for the primary care pediatrician
AU - Yassari, Reza
AU - Frim, David
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2004/4
Y1 - 2004/4
N2 - Diagnosis and treatment of CM1 is undergoing reexamination that includes redefinition of the anatomic Chiari malformation and refinement and redefinition of the clinical syndrome. Children with SM1 present with head pain of some kind, a neurologic deficit, or with signs of spinal cord dysfunction from syrinx. Some will present with no clinical syndrome at all. Presence of anatomic Chiari malformation or compelling clinical Chiari syndrome should lead to evaluation by a neurologist or neurosurgeon experienced with the syndromes and their treatment. Treatment options are varied but usually result in resolution of symptoms. When symptoms persist after surgery, management is complex and not uniformly successful, even in the most experienced hands.
AB - Diagnosis and treatment of CM1 is undergoing reexamination that includes redefinition of the anatomic Chiari malformation and refinement and redefinition of the clinical syndrome. Children with SM1 present with head pain of some kind, a neurologic deficit, or with signs of spinal cord dysfunction from syrinx. Some will present with no clinical syndrome at all. Presence of anatomic Chiari malformation or compelling clinical Chiari syndrome should lead to evaluation by a neurologist or neurosurgeon experienced with the syndromes and their treatment. Treatment options are varied but usually result in resolution of symptoms. When symptoms persist after surgery, management is complex and not uniformly successful, even in the most experienced hands.
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U2 - 10.1016/S0031-3955(03)00208-6
DO - 10.1016/S0031-3955(03)00208-6
M3 - Review article
C2 - 15062680
AN - SCOPUS:1842557797
SN - 0031-3955
VL - 51
SP - 477
EP - 490
JO - Pediatric clinics of North America
JF - Pediatric clinics of North America
IS - 2
ER -