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Duraplasty Versus Non-dural Opening for the Treatment of Pediatric Chiari Malformation Type I

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The Chiari Malformations

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Abstract

Chiari malformation type I (CM I) is characterized by the herniation of the cerebellar tonsils through the foramen magnum and into the upper cervical spinal canal. Children with CM I may present symptomatically or this entity may be found incidentally. When intervention is required, surgery, generally through posterior fossa decompression, represents first-line treatment for children with CM I. In the pediatric population, there is variability with regard to whether or not the dura is opened as a component of this procedure and if additional intradural maneuvers are performed. This chapter discusses the current literature relevant to this aspect of surgical treatment for children with CM I.

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Authors and Affiliations

  1. Department of Neurosurgery, Children’s Hospital Colorado/University of Colorado, Aurora, CO, USA

    Susan J. Staulcup

  2. Department of Surgery, McMaster Children’s Hospital, Hamilton, ON, Canada

    Olufemi Ajani

  3. Departments of Neurosurgery and Pediatrics, Children’s Hospital Colorado/University of Colorado School of Medicine, Aurora, CO, USA

    Todd C. Hankinson

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  1. Susan J. Staulcup
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  2. Olufemi Ajani
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  3. Todd C. Hankinson
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Correspondence to Susan J. Staulcup .

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Editors and Affiliations

  1. Department of Neurosurgery, Tulane University School of Medicine, New Orleans, LA, USA

    R. Shane Tubbs

  2. Department of Neurosurgery, Aydın Adnan Menderes University School of Medicine, Efeler, Aydın, Turkey

    Mehmet Turgut

  3. Departments of Neurosurgery and Pediatrics, University of Alabama, Birmingham, AL, USA

    W. Jerry Oakes

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Staulcup, S.J., Ajani, O., Hankinson, T.C. (2020). Duraplasty Versus Non-dural Opening for the Treatment of Pediatric Chiari Malformation Type I. In: Tubbs, R., Turgut, M., Oakes, W. (eds) The Chiari Malformations. Springer, Cham. https://doi.org/10.1007/978-3-030-44862-2_41

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