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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...

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Detalles Bibliográficos
Autores principales: Moncho, Dulce, Poca, Maria A., Rahnama, Kimia, Sánchez Roldán, M. Ángeles, Santa-Cruz, Daniela, Sahuquillo, Juan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
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.
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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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