Evaluation and management of the Chiari malformation type 1 for the primary care pediatrician

Reza Yassari, David Frim

Research output: Contribution to journalReview articlepeer-review

34 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)477-490
Number of pages14
JournalPediatric clinics of North America
Issue number2
StatePublished - Apr 2004
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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