Chiari I malformation and altered cerebrospinal fluid dynamics—the highs and the lows

2019 ◽  
Vol 35 (10) ◽  
pp. 1711-1717 ◽  
Author(s):  
Soumya Mukherjee ◽  
Neeraj Kalra ◽  
Daniel Warren ◽  
Gnanamurthy Sivakumar ◽  
John R. Goodden ◽  
...  
2012 ◽  
Vol 22 (9) ◽  
pp. 1860-1870 ◽  
Author(s):  
Alexander C. Bunck ◽  
Jan Robert Kroeger ◽  
Alena Juettner ◽  
Angela Brentrup ◽  
Barbara Fiedler ◽  
...  

PLoS ONE ◽  
2016 ◽  
Vol 11 (10) ◽  
pp. e0162938 ◽  
Author(s):  
Karen-Helene Støverud ◽  
Hans Petter Langtangen ◽  
Geir Andre Ringstad ◽  
Per Kristian Eide ◽  
Kent-Andre Mardal

1998 ◽  
Vol 88 (2) ◽  
pp. 237-242 ◽  
Author(s):  
John L. D. Atkinson ◽  
Brian G. Weinshenker ◽  
Gary M. Miller ◽  
David G. Piepgras ◽  
Bahram Mokri

Object. Spontaneous spinal cerebrospinal fluid (CSF) leakage with development of the intracranial hypotension syndrome and acquired Chiari I malformation due to lumbar spinal CSF diversion procedures have both been well described. However, concomitant presentation of both syndromes has rarely been reported. The object of this paper is to present data in seven cases in which both syndromes were present. Three illustrative cases are reported in detail. Methods. The authors describe seven symptomatic cases of spontaneous spinal CSF leakage with chronic intracranial hypotension syndrome in which magnetic resonance (MR) images depicted dural enhancement, brain sagging, loss of CSF cisterns, and acquired Chiari I malformation. Conclusions. This subtype of intracranial hypotension syndrome probably results from chronic spinal drainage of CSF or high-flow CSF shunting and subsequent loss of brain buoyancy that results in brain settling and herniation of hindbrain structures through the foramen magnum. Of 35 cases of spontaneous spinal CSF leakage identified in the authors' practice over the last decade, MR imaging evidence of acquired Chiari I malformation has been shown in seven. Not to be confused with idiopathic Chiari I malformation, ideal therapy requires recognition of the syndrome and treatment directed to the site of the spinal CSF leak.


2016 ◽  
Vol 44 (2) ◽  
pp. 463-470 ◽  
Author(s):  
J. Rajiv Bapuraj ◽  
Frank J. Londy ◽  
Nader Delavari ◽  
Cormac O. Maher ◽  
Hugh J.L. Garton ◽  
...  

1978 ◽  
Vol 16 (1) ◽  
pp. 193-198 ◽  
Author(s):  
N. Tamaki ◽  
Y. Kanazawa ◽  
M. Asada ◽  
T. Kusunoki ◽  
S. Matsumoto

2015 ◽  
Vol 56 (11) ◽  
pp. 6630 ◽  
Author(s):  
Peter Wostyn ◽  
Veva De Groot ◽  
Debby Van Dam ◽  
Kurt Audenaert ◽  
Hanspeter Esriel Killer ◽  
...  

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