caa a22 4500 445357924 CHVBK 20180317142906.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0731-0 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0731-0 Treatment for Chiari 1 malformation (CIM): analysis of a pediatric surgical series [Elektronische Daten] [Laura Valentini, Sergio Visintini, Veronica Saletti, Luisa Chiapparini, Margherita Estienne, Carlo Solero] Children may present a peculiar picture of CIM, as syncopes and acute paraparesis. In a series of 99 children operated for CIM at FINCB there were no major surgical morbidity nor mortality. The preoperative symptoms improved more in this pediatric series than in the adult cases treated at the same institution in the same period; a reason could be the shorter duration of symptoms and another the children plasticity. An untreated nonsyndromic craniosynostosis was present in 10 cases. In our hands, the results of the limited extradural decompression were poor. In some CIM associated with psychiatric symptoms an unexpected improvement was observed after tonsilar resection. The associated Syringomyelia reduced in more than 80% of children and disappeared in a significant number. The rare associated tethered cord (5%) needed a double treatment, detethering by itself being insufficient to treat also tonsillar descent. The clinical symptoms are often more serious in children than in the adults, but the results of surgery, especially on the syrinx, are better. Springer-Verlag, 2011 Chiari 1 malformation (CIM) nationallicence Craniovertebral decompression (CVD) nationallicence Children nationallicence Syringomyelia nationallicence Valentini Laura Department of Neurosurgery, Fondazione Istituto Neurologico C. Besta, Via Celoria 11, 20133, Milan, Italy aut Visintini Sergio Department of Neurosurgery, Fondazione Istituto Neurologico C. Besta, Via Celoria 11, 20133, Milan, Italy aut Saletti Veronica Department of Pediatric Neurology, Fondazione Istituto Neurologico C. Besta, Milan, Italy aut Chiapparini Luisa Neuroradiological Service, Fondazione Istituto Neurologico, Via Celoria 11, 20133, Milan, Italy aut Estienne Margherita Department of Pediatric Neurology, Fondazione Istituto Neurologico C. Besta, Milan, Italy aut Solero Carlo Department of Neurosurgery, Fondazione Istituto Neurologico C. Besta, Via Celoria 11, 20133, Milan, Italy aut Neurological Sciences Springer Milan 32(2011-12-01), 321-324 1590-1874 32<321 2011 32 10072 https://doi.org/10.1007/s10072-011-0731-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0731-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Valentini Laura Department of Neurosurgery, Fondazione Istituto Neurologico C. Besta, Via Celoria 11, 20133, Milan, Italy aut NATIONALLICENCE 700 1- Visintini Sergio Department of Neurosurgery, Fondazione Istituto Neurologico C. Besta, Via Celoria 11, 20133, Milan, Italy aut NATIONALLICENCE 700 1- Saletti Veronica Department of Pediatric Neurology, Fondazione Istituto Neurologico C. Besta, Milan, Italy aut NATIONALLICENCE 700 1- Chiapparini Luisa Neuroradiological Service, Fondazione Istituto Neurologico, Via Celoria 11, 20133, Milan, Italy aut NATIONALLICENCE 700 1- Estienne Margherita Department of Pediatric Neurology, Fondazione Istituto Neurologico C. Besta, Milan, Italy aut NATIONALLICENCE 700 1- Solero Carlo Department of Neurosurgery, Fondazione Istituto Neurologico C. Besta, Via Celoria 11, 20133, Milan, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32(2011-12-01), 321-324 1590-1874 32<321 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer