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The Role of Neurophysiology in Managing Patients with Chiari Malformations
Chiari malformation type 1 (CM1) includes various congenital anomalies that share ectopia of the cerebellar tonsils lower than the foramen magnum, in some cases associated with syringomyelia or hydrocephalus. CM1 can cause dysfunction of the brainstem, spinal cord, and cranial nerves. This functiona...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607909/ https://www.ncbi.nlm.nih.gov/pubmed/37892608 http://dx.doi.org/10.3390/jcm12206472 |
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author | Moncho, Dulce Poca, Maria A. Rahnama, Kimia Sánchez Roldán, M. Ángeles Santa-Cruz, Daniela Sahuquillo, Juan |
author_facet | Moncho, Dulce Poca, Maria A. Rahnama, Kimia Sánchez Roldán, M. Ángeles Santa-Cruz, Daniela Sahuquillo, Juan |
author_sort | Moncho, Dulce |
collection | PubMed |
description | Chiari malformation type 1 (CM1) includes various congenital anomalies that share ectopia of the cerebellar tonsils lower than the foramen magnum, in some cases associated with syringomyelia or hydrocephalus. CM1 can cause dysfunction of the brainstem, spinal cord, and cranial nerves. This functional alteration of the nervous system can be detected by various modalities of neurophysiological tests, such as brainstem auditory evoked potentials, somatosensory evoked potentials, motor evoked potentials, electromyography and nerve conduction studies of the cranial nerves and spinal roots, as well as brainstem reflexes. The main goal of this study is to review the findings of multimodal neurophysiological examinations in published studies of patients with CM1 and their indication in the diagnosis, treatment, and follow-up of these patients, as well as their utility in intraoperative monitoring. |
format | Online Article Text |
id | pubmed-10607909 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106079092023-10-28 The Role of Neurophysiology in Managing Patients with Chiari Malformations Moncho, Dulce Poca, Maria A. Rahnama, Kimia Sánchez Roldán, M. Ángeles Santa-Cruz, Daniela Sahuquillo, Juan J Clin Med Review Chiari malformation type 1 (CM1) includes various congenital anomalies that share ectopia of the cerebellar tonsils lower than the foramen magnum, in some cases associated with syringomyelia or hydrocephalus. CM1 can cause dysfunction of the brainstem, spinal cord, and cranial nerves. This functional alteration of the nervous system can be detected by various modalities of neurophysiological tests, such as brainstem auditory evoked potentials, somatosensory evoked potentials, motor evoked potentials, electromyography and nerve conduction studies of the cranial nerves and spinal roots, as well as brainstem reflexes. The main goal of this study is to review the findings of multimodal neurophysiological examinations in published studies of patients with CM1 and their indication in the diagnosis, treatment, and follow-up of these patients, as well as their utility in intraoperative monitoring. MDPI 2023-10-11 /pmc/articles/PMC10607909/ /pubmed/37892608 http://dx.doi.org/10.3390/jcm12206472 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Moncho, Dulce Poca, Maria A. Rahnama, Kimia Sánchez Roldán, M. Ángeles Santa-Cruz, Daniela Sahuquillo, Juan The Role of Neurophysiology in Managing Patients with Chiari Malformations |
title | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
title_full | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
title_fullStr | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
title_full_unstemmed | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
title_short | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
title_sort | role of neurophysiology in managing patients with chiari malformations |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607909/ https://www.ncbi.nlm.nih.gov/pubmed/37892608 http://dx.doi.org/10.3390/jcm12206472 |
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