caa a22 4500 445357789 CHVBK 20180317142906.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0684-3 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0684-3 Natural history of Chiari type I malformation in children [Elektronische Daten] [Luca Massimi, Massimo Caldarelli, Paolo Frassanito, Concezio Di Rocco] 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: 6.7years; mean follow-up: 5.8years). 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. Springer-Verlag, 2011 Chiari I malformation nationallicence Natural history nationallicence Cerebellar tonsils nationallicence Asymptomatic patients nationallicence Massimi Luca Department of Neurosciences, Pediatric Neurosurgery, A. Gemelli Hospital, Rome, Italy aut Caldarelli Massimo Department of Neurosciences, Pediatric Neurosurgery, A. Gemelli Hospital, Rome, Italy aut Frassanito Paolo Department of Neurosciences, Pediatric Neurosurgery, A. Gemelli Hospital, Rome, Italy aut Di Rocco Concezio Department of Neurosciences, Pediatric Neurosurgery, A. Gemelli Hospital, Rome, Italy aut Neurological Sciences Springer Milan 32(2011-12-01), 275-277 1590-1874 32<275 2011 32 10072 https://doi.org/10.1007/s10072-011-0684-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0684-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Massimi Luca Department of Neurosciences, Pediatric Neurosurgery, A. Gemelli Hospital, Rome, Italy aut NATIONALLICENCE 700 1- Caldarelli Massimo Department of Neurosciences, Pediatric Neurosurgery, A. Gemelli Hospital, Rome, Italy aut NATIONALLICENCE 700 1- Frassanito Paolo Department of Neurosciences, Pediatric Neurosurgery, A. Gemelli Hospital, Rome, Italy aut NATIONALLICENCE 700 1- Di Rocco Concezio Department of Neurosciences, Pediatric Neurosurgery, A. Gemelli Hospital, Rome, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32(2011-12-01), 275-277 1590-1874 32<275 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer