医学
大孔
系统回顾
脊髓空洞症
医学文献
Chiari畸形
梅德林
ChiariⅠ畸形
循证医学
医学物理学
外科
放射科
磁共振成像
病理
替代医学
政治学
法学
作者
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
出处
期刊:Neurosurgery
[Oxford University Press]
日期:2023-08-30
卷期号:93 (4): 723-726
被引量:1
标识
DOI:10.1227/neu.0000000000002633
摘要
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.To perform a systematic review of the medical literature to answer specific questions on the diagnosis and treatment of CIM.PubMed and Embase were queried between 1946 and January 23, 2021, using the search strategies provided in Appendix I of the full guidelines.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.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 .
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