Ho Winson S C, Brockmeyer Douglas L
Division of Pediatric Neurosurgery, Department of Neurosurgery, University of Utah School of Medicine Primary Children's Hospital, Salt Lake City, UT, USA.
Childs Nerv Syst. 2019 Oct;35(10):1847-1851. doi: 10.1007/s00381-019-04214-z. Epub 2019 May 28.
The complex Chiari, characterized by abnormal craniocervical bony anatomy in addition to Chiari tonsillar herniation, is a relatively recent addition to the concepts surrounding the Chiari literature. The primary findings of complex Chiari include craniocervical kyphosis and retroflexed odontoid, both of which can be described with radiographic measurements. This manuscript will outline the background literature regarding Chiari craniocervical morphometrics and supply an algorithm for the general management of complex Chiari patients.
复杂型Chiari畸形除了存在Chiari扁桃体疝外，还具有异常的颅颈骨解剖结构，这是Chiari文献相关概念中相对较新的内容。复杂型Chiari畸形的主要表现包括颅颈后凸和齿状突后屈，两者都可以通过影像学测量来描述。本文将概述关于Chiari颅颈形态测量学的背景文献，并提供一套针对复杂型Chiari畸形患者的综合管理算法。
