A new supportive approach in the diagnosis of Chiari malformation type 1 in pediatric patients
Yazarlar (7)
Dr. Öğr. Üyesi Burcu KAMAŞAK ARPAÇAY
Kırşehir Ahi Evran Üniversitesi, Türkiye
Doç. Dr. Tufan ULCAY
Kırşehir Ahi Evran Üniversitesi, Türkiye
Erciyes University, Faculty Of Medicine, Türkiye
Erciyes University, Faculty Of Medicine, Türkiye
Erciyes University, Faculty Of Medicine, Türkiye
Erciyes University, Faculty Of Medicine, Türkiye
Kırşehir Ahi Evran Üniversitesi, Türkiye
| Makale Türü | Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale) | ||
| Dergi Adı | Child S Nervous System (Q3) | ||
| Dergi ISSN | 0256-7040 Wos Dergi Scopus Dergi | ||
| Dergi Tarandığı Indeksler | SCI-Expanded | ||
| Makale Dili | İngilizce | Basım Tarihi | 06-2023 |
| Cilt / Sayı / Sayfa | 39 / 6 / 1581–1587 | DOI | 10.1007/s00381-023-05833-3 |
| Makale Linki | http://dx.doi.org/10.1007/s00381-023-05833-3 | ||
| Özet |
| Purpose Chiari malformation type 1 (CM-1) is a posterior fossa anomaly characterized by herniation of the cerebellar tonsils from the foramen magnum (FM). This study compares FM, medulla spinalis (MS), and herniated cerebellar tonsils ratios by making area measurements from axial plane MRI in CM-1 patients and the control group.Methods Our study evaluated 30 pediatric patients with CM-1 and 30 people in the control group. The lengths of the McRae line, twining line, and clivus line were measured on the posterior cranial fossa evaluation. The areas of FM (A(FM)), MS (A(MS)), and herniated cerebellar tonsils (A(TONSILS)) were measured by axial images.Results As a result of area measurements obtained from axial cross-sectional MRI, a statistically significant difference was found between CM-1 patients and the control group. According to the results of the ROC analysis, if an individual's A(MS)/A(FM) value is above 17.9% or the A(TONSILS)/A(FM) value is above 18.4%, it can be interpreted as a CM-1 patient.Conclusion It will be easier to diagnose the patient with the new approach we obtained from axial MR images in addition to sagittal MR images. This method can be a guide in some cases when the surgeons are undecided. |
| Anahtar Kelimeler |
| Chiari malformation | Foramen magnum | McRae line | Posterior cranial fossa |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| WoS | 1 |
| SCOPUS | 1 |
| Google Scholar | 1 |