Perioperative Management of Children with Chiari Malformation

Autor: Varun Jain, Kashmiri Doley, Sumit Sinha
Rok vydání: 2021
Předmět:
Zdroj: Fundamentals of Pediatric Neuroanesthesia ISBN: 9789811633751
DOI: 10.1007/978-981-16-3376-8_15
Popis: Chiari malformation is a condition characterized by herniation of the lower part of the brain, namely, the cerebellar tonsils through the foramen magnum into the spinal canal. The malformation was named after Austrian pathologist Prof. Hans Chiari, who described this in a 17-year-old female in 1891. Arnold-Chiari malformation was named in honor of Chiari and German pathologist Julius Arnold by the latter’s pupils after they reported four meningomyelocele cases with alterations in the cerebellum and brainstem in 1907. However, Cleland was the first to describe Chiari malformation in a child with spina bifida, hydrocephalus, and anatomical variations of the cerebellum and brainstem in 1883. The prevalence of Chiari malformation is estimated at 1 per 1000 to 1 per 5000 individuals. The majority of Chiari I malformation cases are diagnosed in late childhood to early adulthood. Chiari II malformation is usually diagnosed at birth or in utero due to its association with meningomyelocele.
Databáze: OpenAIRE