Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation: Diagnosis

David F. Bauer; Toba Niazi; Rabia Qaiser; Libby Kosnik Infinger; Shobhan Vachhrajani; Laurie L. Ackerman; Eric M. Jackson; Sarah Jernigan; Cormac O. Maher; Jogi V. Pattisapu; Carolyn Quinsey; Jeffrey S. Raskin; Brandon G. Rocque; Howard Silberstein

doi:10.1227/neu.0000000000002633

Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation: Diagnosis

David F. Bauer^*, Toba Niazi, Rabia Qaiser, Libby Kosnik Infinger, Shobhan Vachhrajani, Laurie L. Ackerman, Eric M. Jackson, Sarah Jernigan, Cormac O. Maher, Jogi V. Pattisapu, Carolyn Quinsey, Jeffrey S. Raskin, Brandon G. Rocque, Howard Silberstein

^*Corresponding author for this work

Neurological Surgery

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

BACKGROUND: Chiari I malformation (CIM) is characterized by descent of the cerebellar tonsils through the foramen magnum, potentially causing symptoms from compression or obstruction of the flow of cerebrospinal fluid. Diagnosis and treatment of CIM is varied, and guidelines produced through systematic review may be helpful for clinicians. OBJECTIVE: To perform a systematic review of the medical literature to answer specific questions on the diagnosis and treatment of CIM. METHODS: PubMed and Embase were queried between 1946 and January 23, 2021, using the search strategies provided in Appendix I of the full guidelines. RESULTS: The literature search yielded 567 abstracts, of which 151 were selected for full-text review, 109 were then rejected for not meeting the inclusion criteria or for being off-topic, and 42 were included in this systematic review. CONCLUSION: Three Grade C recommendations were made based on Level III evidence. The full guidelines can be seen online at https://www.cns.org/guidelines/browse-guidelines-detail/1-imaging.

Original language	English (US)
Pages (from-to)	723-726
Number of pages	4
Journal	Neurosurgery
Volume	93
Issue number	4
DOIs	https://doi.org/10.1227/neu.0000000000002633
State	Published - Oct 1 2023

Funding

These evidence-based clinical practice guidelines were funded exclusively by the Congress of Neurological Surgeons, which received no funding from outside commercial sources to support the development of this document.

Keywords

Chiari
Diagnosis
Guideline
Systematic review
Treatment

ASJC Scopus subject areas

Clinical Neurology
Surgery

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10.1227/neu.0000000000002633

Cite this

Bauer, D. F., Niazi, T., Qaiser, R., Infinger, L. K., Vachhrajani, S., Ackerman, L. L., Jackson, E. M., Jernigan, S., Maher, C. O., Pattisapu, J. V., Quinsey, C., Raskin, J. S., Rocque, B. G., & Silberstein, H. (2023). Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation: Diagnosis. Neurosurgery, 93(4), 723-726. https://doi.org/10.1227/neu.0000000000002633

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title = "Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation: Diagnosis",

abstract = "BACKGROUND: Chiari I malformation (CIM) is characterized by descent of the cerebellar tonsils through the foramen magnum, potentially causing symptoms from compression or obstruction of the flow of cerebrospinal fluid. Diagnosis and treatment of CIM is varied, and guidelines produced through systematic review may be helpful for clinicians. OBJECTIVE: To perform a systematic review of the medical literature to answer specific questions on the diagnosis and treatment of CIM. METHODS: PubMed and Embase were queried between 1946 and January 23, 2021, using the search strategies provided in Appendix I of the full guidelines. RESULTS: The literature search yielded 567 abstracts, of which 151 were selected for full-text review, 109 were then rejected for not meeting the inclusion criteria or for being off-topic, and 42 were included in this systematic review. CONCLUSION: Three Grade C recommendations were made based on Level III evidence. The full guidelines can be seen online at https://www.cns.org/guidelines/browse-guidelines-detail/1-imaging.",

keywords = "Chiari, Diagnosis, Guideline, Systematic review, Treatment",

author = "Bauer, {David F.} and Toba Niazi and Rabia Qaiser and Infinger, {Libby Kosnik} and Shobhan Vachhrajani and Ackerman, {Laurie L.} and Jackson, {Eric M.} and Sarah Jernigan and Maher, {Cormac O.} and Pattisapu, {Jogi V.} and Carolyn Quinsey and Raskin, {Jeffrey S.} and Rocque, {Brandon G.} and Howard Silberstein",

year = "2023",

month = oct,

day = "1",

doi = "10.1227/neu.0000000000002633",

language = "English (US)",

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Bauer, DF, Niazi, T, Qaiser, R, Infinger, LK, Vachhrajani, S, Ackerman, LL, Jackson, EM, Jernigan, S, Maher, CO, Pattisapu, JV, Quinsey, C, Raskin, JS, Rocque, BG & Silberstein, H 2023, 'Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation: Diagnosis', Neurosurgery, vol. 93, no. 4, pp. 723-726. https://doi.org/10.1227/neu.0000000000002633

TY - JOUR

T1 - Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation

T2 - Diagnosis

AU - Bauer, David F.

AU - Niazi, Toba

AU - Qaiser, Rabia

AU - Infinger, Libby Kosnik

AU - Vachhrajani, Shobhan

AU - Ackerman, Laurie L.

AU - Jackson, Eric M.

AU - Jernigan, Sarah

AU - Maher, Cormac O.

AU - Pattisapu, Jogi V.

AU - Quinsey, Carolyn

AU - Raskin, Jeffrey S.

AU - Rocque, Brandon G.

AU - Silberstein, Howard

PY - 2023/10/1

Y1 - 2023/10/1

N2 - BACKGROUND: Chiari I malformation (CIM) is characterized by descent of the cerebellar tonsils through the foramen magnum, potentially causing symptoms from compression or obstruction of the flow of cerebrospinal fluid. Diagnosis and treatment of CIM is varied, and guidelines produced through systematic review may be helpful for clinicians. OBJECTIVE: To perform a systematic review of the medical literature to answer specific questions on the diagnosis and treatment of CIM. METHODS: PubMed and Embase were queried between 1946 and January 23, 2021, using the search strategies provided in Appendix I of the full guidelines. RESULTS: The literature search yielded 567 abstracts, of which 151 were selected for full-text review, 109 were then rejected for not meeting the inclusion criteria or for being off-topic, and 42 were included in this systematic review. CONCLUSION: Three Grade C recommendations were made based on Level III evidence. The full guidelines can be seen online at https://www.cns.org/guidelines/browse-guidelines-detail/1-imaging.

AB - BACKGROUND: Chiari I malformation (CIM) is characterized by descent of the cerebellar tonsils through the foramen magnum, potentially causing symptoms from compression or obstruction of the flow of cerebrospinal fluid. Diagnosis and treatment of CIM is varied, and guidelines produced through systematic review may be helpful for clinicians. OBJECTIVE: To perform a systematic review of the medical literature to answer specific questions on the diagnosis and treatment of CIM. METHODS: PubMed and Embase were queried between 1946 and January 23, 2021, using the search strategies provided in Appendix I of the full guidelines. RESULTS: The literature search yielded 567 abstracts, of which 151 were selected for full-text review, 109 were then rejected for not meeting the inclusion criteria or for being off-topic, and 42 were included in this systematic review. CONCLUSION: Three Grade C recommendations were made based on Level III evidence. The full guidelines can be seen online at https://www.cns.org/guidelines/browse-guidelines-detail/1-imaging.

KW - Chiari

KW - Diagnosis

KW - Guideline

KW - Systematic review

KW - Treatment

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ER -

Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation: Diagnosis

Abstract

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Keywords

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