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A new supportive approach in the diagnosis of Chiari malformation type 1 in pediatric patients       
Yazarlar
Dr. Öğr. Üyesi Burcu KAMAŞAK ARPAÇAY Dr. Öğr. Üyesi Burcu KAMAŞAK ARPAÇAY
Kırşehir Ahi Evran Üniversitesi, Türkiye
 Tufan ULCAY Tufan ULCAY
Kırşehir Ahi Evran Üniversitesi, Türkiye
Ahmet Küçük
Türkiye
Zehra Filiz Karaman
Türkiye
Funda İpekten
Türkiye
İbrahim Suat Öktem
Türkiye
 Kenan AYCAN Kenan AYCAN
Kırşehir Ahi Evran Üniversitesi, Türkiye
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
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı CHILDS NERVOUS SYSTEM
Dergi ISSN 0256-7040
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 06-2023
Cilt No 39
Sayı 6
Sayfalar 1581 / 1587
Doi Numarası 10.1007/s00381-023-05833-3
Makale Linki http://dx.doi.org/10.1007/s00381-023-05833-3
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
A new supportive approach in the diagnosis of Chiari malformation type 1 in pediatric patients

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