Cerebellar Tonsillar Descent Mimicking Chiari Malformation.

Chiari I malformation arachnoiditis cysts dural band idiopathic intracranial hypertension spontaneous intracranial hypotension syringomyelia

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
09 Apr 2023
Historique:
received: 10 03 2023
revised: 31 03 2023
accepted: 05 04 2023
medline: 28 4 2023
pubmed: 28 4 2023
entrez: 28 4 2023
Statut: epublish

Résumé

Chiari I malformation has been defined as cerebellar tonsillar descent greater than 5 mm below the foramen magnum. Suboccipital decompression remains the mainstay of treatment for symptomatic patients. Other conditions sometimes have imaging features that mimic Chiari I malformation. These patients are at risk of misdiagnosis and mismanagement, including surgery that may be unnecessary or may even worsen the underlying condition. The aim of this study was to analyse a series of Chiari I malformation mimics and identify differentiating imaging features. The mimics are categorised as post-traumatic cranio-cervical junction arachnoiditis, dural band, spontaneous intracranial hypotension, idiopathic intracranial hypertension, and cysts. Better understanding of these conditions will assist with diagnosis and optimal management, including avoiding unnecessary surgery.

Identifiants

pubmed: 37109124
pii: jcm12082786
doi: 10.3390/jcm12082786
pmc: PMC10144607
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

J Neurosurg. 1950 May;7(3):199-206
pubmed: 15415776
Med Hypotheses. 2003 Jun;60(6):859-63
pubmed: 12699714
BMC Musculoskelet Disord. 2009 Dec 17;10 Suppl 1:S1
pubmed: 20018097
J Neurosurg. 1996 Apr;84(4):598-605
pubmed: 8613851
Acta Neurochir (Wien). 2003 Feb;145(2):107-16; discussion 116
pubmed: 12601458
World Neurosurg. 2020 Nov;143:e268-e274
pubmed: 32711143
J Genet Couns. 2003 Aug;12(4):297-311
pubmed: 26141174
Neuroradiology. 2022 Dec;64(12):2307-2314
pubmed: 35697809
Cephalalgia. 2018 Jan;38(1):1-211
pubmed: 29368949
World Neurosurg. 2018 Feb;110:e53-e59
pubmed: 29017977
JAMA Neurol. 2019 May 1;76(5):580-587
pubmed: 30776059
Heliyon. 2021 Apr 19;7(4):e06795
pubmed: 33981879
Arch Neurol. 1991 Jul;48(7):740-7
pubmed: 1859302
Acta Neurochir (Wien). 1981;59(1-2):123-42
pubmed: 7315557
Neurosurgery. 1999 May;44(5):1005-17
pubmed: 10232534
Acta Neurochir (Wien). 2010 Jul;152(7):1117-27
pubmed: 20440631
JAMA. 2006 May 17;295(19):2286-96
pubmed: 16705110
Neurosurg Rev. 2010 Jul;33(3):305-14; discussion 314
pubmed: 20480382
J Neurosurg. 2007 Jan;106(1 Suppl):48-52
pubmed: 17233313
Neurology. 2003 May 13;60(9):1418-24
pubmed: 12743224
J Neurosurg. 2021 Oct 29;:1-8
pubmed: 34715671
J Neurosurg. 1987 Jun;66(6):812-6
pubmed: 3572510
J Neurosurg Spine. 2011 Oct;15(4):433-40
pubmed: 21740128
Neurosurgery. 2012 Aug;71(2):365-80; discussion 380
pubmed: 22569058
Brain. 1974 Mar;97(1):157-68
pubmed: 4547989
J Neurosurg Pediatr. 2017 Dec;20(6):526-541
pubmed: 29027876
AJNR Am J Neuroradiol. 2012 Nov;33(10):1901-6
pubmed: 22723059
Eur J Neurol. 2008 Dec;15(12):1416-8
pubmed: 19049565
J Neurosurg. 2004 May;100(5 Suppl Pediatrics):465-7
pubmed: 15287456
World Neurosurg. 2017 Nov;107:565-573
pubmed: 28842236
World Neurosurg. 2017 Feb;98:800-808.e2
pubmed: 27894943
J Neurol Sci. 1969 May-Jun;8(3):451-64
pubmed: 5807283
Neurol Sci. 2022 Feb;43(2):1327-1342
pubmed: 34129128
AJR Am J Roentgenol. 2016 Dec;207(6):1283-1287
pubmed: 27557149
Scand J Infect Dis. 2012 Jul;44(7):481-8
pubmed: 22404365
Neurosurg Focus. 2000 Jul 15;9(1):e8
pubmed: 16859269
J Neurosurg. 2002 Oct;97(3 Suppl):317-22
pubmed: 12408385
Pediatr Neurosurg. 2006;42(1):14-9
pubmed: 16357496
Int J Surg Case Rep. 2017;38:136-141
pubmed: 28756364
Neuropathology. 2000 Mar;20(1):38-43
pubmed: 10935435
Acta Neurochir (Wien). 1981;58(3-4):167-85
pubmed: 7315549
AJNR Am J Neuroradiol. 2001 Jan;22(1):196-9
pubmed: 11158909
J Neurol Sci. 1981 Apr;50(1):29-55
pubmed: 7229658
J Neurol Sci. 2006 Aug 15;247(1):71-5
pubmed: 16682058

Auteurs

Rachel J Park (RJ)

Macquarie Health, Sydney, NSW 2109, Australia.

Sunil Unnikrishnan (S)

Macquarie Medical School, Macquarie University, Sydney, NSW 2109, Australia.

Joel Berliner (J)

Macquarie Medical School, Macquarie University, Sydney, NSW 2109, Australia.

John Magnussen (J)

Macquarie Medical School, Macquarie University, Sydney, NSW 2109, Australia.

Shinuo Liu (S)

Statewide Neurosurgical Service, Sir Charles Gairdner and Perth Children's Hospitals, Perth, WA 6009, Australia.

Marcus A Stoodley (MA)

Macquarie Medical School, Macquarie University, Sydney, NSW 2109, Australia.

Classifications MeSH