caa a22 4500 445357797 CHVBK 20180317142906.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0690-5 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0690-5 Brockmeyer Douglas Department of Neurosurgery, Primary Children's Medical Center, University of Utah, 100N. Mario Capecchi Dr, 84113, Salt Lake City, UT, USA aut The complex Chiari: issues and management strategies [Elektronische Daten] [Douglas Brockmeyer] "Complex Chiari” malformations may be defined as cerebellar tonsil herniation combined with one or more of the following radiographic findings: brainstem herniation through the foramen magnum (Chiari 1.5 malformation), medullary kink, retroflexed odontoid, abnormal clival-cervical angle, occipitalization of the atlas, basilar invagination, syringomyelia or scoliosis. Patients with "complex Chiari” malformation are different from those with typical Chiari 1 malformation in that their management strategy has a higher chance of including other operative interventions aside from a typical suboccipital decompression. These other operative procedures include odontoid resection and craniocervical fusion. This paper outlines specific scenarios where these other operative procedures must be considered and carried out. Springer-Verlag, 2011 Chiari malformation nationallicence Odontoid resection nationallicence Craniocervical fusion nationallicence Neurological Sciences Springer Milan 32(2011-12-01), 345-347 1590-1874 32<345 2011 32 10072 https://doi.org/10.1007/s10072-011-0690-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0690-5 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Brockmeyer Douglas Department of Neurosurgery, Primary Children's Medical Center, University of Utah, 100N. Mario Capecchi Dr, 84113, Salt Lake City, UT, USA aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32(2011-12-01), 345-347 1590-1874 32<345 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer