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Pediatric Chiari Research Articles

Note:  The following articles are from the Conquer Chiari main site and were originally published in Chiari & Syringomyelia News.  The articles are primarily based on research involving pediatric patients.  Clicking on an article title will open the article in a new window.  A more complete list of research articles can be found at www.conquerchiari.org.

Symptoms
Surgery:  Outcomes     Techniques     Dural Patch     Failed 
Theories:  Posterior Fossa     CSF/Compliance     Tethered Cord     Genetic     
Other:     Scoliosis & Related Conditions      Family Impact    
Symptoms:
Behavioral Issue In Chiari II Children Traced To Sleep Problems
* Chiari Related Hearing Loss In Children
* Chiari II Affects Normal Eye Movements
* Treating Chiari Related Eye Problems
* Study Looks At  Abnormal Gag Reflex In Chiari Children

* Trouble Swallowing May Signal Chiari In Very Young Children
* Some Good News For Chiari II Families
* Chiari Related Memory & Learning Problems
* Study Identifies Cognitive Impact Of Chiari II
* Abnormal EEG Results Indicate Chiari's Subtle Effects
* What Is Cerebellar Affective Disorder And What Does It Mean For Chiari
* Damage To Cerebellum Affects Cognitive Ability In Children 
* Majority of Chiari Patients Suffer From Sleep Apnea
* Sleep Apnea Causes Brain Changes In Children
* Strong Link Between Chiari And Sleep Apnea
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Surgery - General, Outcomes & Predictors:
* 
Studying The Natural History Of Chiari In Children
* Study Explores The Natural History Of Chiari
* Tracking Syrinx Improvement After Surgery
* Cervical Instability With Chiari II Surgery Does Not Cause Major Problems

* 
Chiari Symptoms Can Come Back Years After Surgery
* 
Details Of CSF Flow Used To Predict Symptom Recurrence
* Urgent Surgery Is Sometimes Necessary For Chiari
* Cerebellar Tonsils Removed During Surgery Shown To Be Abnormal
* Using Cine-MRI To Predict Surgical Outcome
* CSF Flow In Children Before & After Surgery
* Type Of Headache May Indicate If Surgery Is Required
* Large Study Examines Surgical Outcomes In Children
* Does The Shape Of A Syrinx Predict Post-surgical Improvement?

* Survey Shows How Doctors Worldwide Treat Chiari
* Can syrinxes resolve on their own?
* The Importance Of  Cine MRI
* What can be learned from 130 Chiari kids?
* 
Can testing during surgery help resolve the surgical debate?
* Helping Children Deal With Post-Operative Pain

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Surgery - Techniques:
* 
Intraoperative Ultrasound May Not Be Effective In Selecting Patients For Bone Only Decompression
* Cervical Fusion In Chiari Patients
* Extensive Laminectomy May Increase Risk For Spinal Problems
* Surgical Technique Alleviates Serious Complication After Decompression
* Simple Idea To Improve Chiari Surgery
* Limited Surgery Shown To Be Effective In Children
* Study Examines Feasibility Of Programming Shunts At Home
* 
Study Compares Surgical Techniques
* Ultrasound Can Determine Extent Of Surgery Necessary 
* Surgical Technique Reduces Hospital Time And Costs
* New Surgery Proposed For Chiari
Using Ultrasound To Make Surgery Patient Specific
* New surgical technique attempts to minimize trauma for pediatric patients
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Surgery - Dural Patch Issues:
* Synthetic Graft May Be More Effective Than Autograft
* 
Meta-Analysis Compares Duraplasty To No Duraplasty
* Study Shows Few CSF Related Complications With Autologous Duraplasty
* New Dural Patch Found To Be Safe And Effective
* Do You Know What's In Your Head?  Study Compares Dural Graft Materials
* To Open or Not To Open The Dura; That Is The Question
* Does the type of dural graft material matter?
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Surgery - Failed:
* More Evidence That Pseudotumor Cerebri Plays A Role In Failed Chiari Surgeries
* Trying To Understand Why Some Syrinxes Don't Go Away 
* Trying to identify why surgeries fail.
* Treatment options after failed surgery
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Theories - Posterior Fossa Size:
* 
Can A Child Grow Out Of Chiari?
* Long-term Shunting Can Lead To Acquired Chiari

* More Findings Involving Chiari & Abnormal Skull Geometry
* Can Posterior Fossa Volume Indicate Symptom Severity?
* Small Posterior Fossa Linked To Chiari Related Syringomyelia
* Children With Chiari Symptoms Due To Shunting Found To Have Small Posterior Fossa Volume
* Between Chiari I & Chiari II

* Rickets Provides Chiari Clues

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Theories - CSF & Compliance:
* 
How Useful Is Measuring CSF Flow?
* CSF Velocity Changes With Age
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Theories - Tethered Cord:
* Two Cases Provide Clues To A Link Between Tethered Cord And Chiari
* Possible Biomarkers Found For Tethered Cord
* Chiari Linked To Lipomyelomeningocele
* New Study Casts Doubt On Tethered Cord Causing Chiari
* MRI Documents Acquired Chiari Due To Fatty Filum

* Minimal Tethered Cord Shows Abnormal Anatomy
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Theories - Genetic:
* 
Multi-generational Chiari Family Adds To Confusion
* Zeroing In On A Chiari Gene
* Syringomyelia In Twins, With And Without Chiari 
* Linking Chiari, Idiopathic Scoliosis, And Genetics

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Scoliosis & Related Conditions:
Duraplasty Prevents Retethering In Complex TCS Cases
* 
How Decompression Surgery Affects Scoliosis Progression
* Study Identifies Features Of Chiari Related Scoliosis
* SM Related Scoliosis May Be Due To Spinal Muscle Denervation
* Looking For Signs Of Chiari In Idiopathic Scoliosis
* Decompression Surgery Helps Chiari Related Scoliosis

* When Is Decompression Surgery Before Scoliosis Surgery Necessary?

* Study Identifies Types Of Scoliosis That Indicate Chiari 

* Chiari, Syringomyelia, Scoliosis, and Surgery
* How to treat syringomyelia related scoliosis in children
* Connective Tissue Disorders Linked To Chiari In Some Patients
* Timing Important In Treating Tethered Cord

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Family Impact:
* Caring For Children With Complex Medical Conditions, By Sharon Feder
* How Nurses Can Help When A Child Is In The Hospital

* Emotionally Focused Therapy Helps Families Cope With A Chronically Ill Child
* Is Laughter The Best Medicine?
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Disclaimer:  This website is intended for informational purposes only and may or may not apply to you.  The publishers are not doctors and are not engaged in providing medical advice.   Always consult a qualified professional for medical care.  This organization and website does not endorse any doctors, procedures, or products.

© 2009 C&S Patient Education Foundation