Title
Chiari I Malformation: Opinions on Diagnostic Trends and Controversies from a Panel of 63 International Experts
Publication Date
2019
Journal Title
World Neurosurg
Abstract
© 2019 Background: Chiari I malformation (CMI) and the topics concerning it have been the subject of numerous discussions and polarizing controversies over the course of the last 20 years. Methods: The opinions of 63 recognized international CMI experts from 4 continents, with a collective surgical experience of >15,000 CMI cases, were gathered through a detailed questionnaire. Results: Three facts emerged from the analysis of the results: 1) Most of the replies showed a high level of consensus on most CMI-related topics. 2) Several topics, which had been considered controversial as recently as 10 years ago, are now more widely accepted. 3) The so-called 5-mm rule was rejected by 88.5% of the CMI experts who responded to the questionnaire. Conclusions: Sixty three recognized international CMI experts from 4 continents, with a collective surgical experience of >15,000 CMI cases were polled about a number of CMI topics. The results showed a high level of consensus, as well as a paradigm shift.
Volume Number
130
Pages
e9 - e16
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
Neurosurgery
Additional Departments
Neurology
PMID
DOI
10.1016/j.wneu.2019.05.098