The Role of Neurophysiology in Managing Patients with Chiari Malformations
Chiari malformation type 1 (CM1) includes various congenital anomalies that share ectopia of the cerebellar tonsils lower than the foramen magnum, in some cases associated with syringomyelia or hydrocephalus. CM1 can cause dysfunction of the brainstem, spinal cord, and cranial nerves. This functiona...
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| Format: | Article |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/20/6472 |
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| author | Dulce Moncho Maria A. Poca Kimia Rahnama M. Ángeles Sánchez Roldán Daniela Santa-Cruz Juan Sahuquillo |
| author_facet | Dulce Moncho Maria A. Poca Kimia Rahnama M. Ángeles Sánchez Roldán Daniela Santa-Cruz Juan Sahuquillo |
| author_sort | Dulce Moncho |
| collection | DOAJ |
| description | Chiari malformation type 1 (CM1) includes various congenital anomalies that share ectopia of the cerebellar tonsils lower than the foramen magnum, in some cases associated with syringomyelia or hydrocephalus. CM1 can cause dysfunction of the brainstem, spinal cord, and cranial nerves. This functional alteration of the nervous system can be detected by various modalities of neurophysiological tests, such as brainstem auditory evoked potentials, somatosensory evoked potentials, motor evoked potentials, electromyography and nerve conduction studies of the cranial nerves and spinal roots, as well as brainstem reflexes. The main goal of this study is to review the findings of multimodal neurophysiological examinations in published studies of patients with CM1 and their indication in the diagnosis, treatment, and follow-up of these patients, as well as their utility in intraoperative monitoring. |
| first_indexed | 2024-03-10T21:11:11Z |
| format | Article |
| id | doaj.art-d0c4ff64b2dc4bd3a4a3fbf2b2503111 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:11:11Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-d0c4ff64b2dc4bd3a4a3fbf2b25031112023-11-19T16:51:34ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220647210.3390/jcm12206472The Role of Neurophysiology in Managing Patients with Chiari MalformationsDulce Moncho0Maria A. Poca1Kimia Rahnama2M. Ángeles Sánchez Roldán3Daniela Santa-Cruz4Juan Sahuquillo5Department of Clinical Neurophysiology, Vall d’Hebron University Hospital, Passeig Vall d’Hebron 119-129, 08035 Barcelona, SpainNeurotraumatology and Neurosurgery Research Unit, Vall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, 08035 Barcelona, SpainDepartment of Clinical Neurophysiology, Vall d’Hebron University Hospital, Passeig Vall d’Hebron 119-129, 08035 Barcelona, SpainDepartment of Clinical Neurophysiology, Vall d’Hebron University Hospital, Passeig Vall d’Hebron 119-129, 08035 Barcelona, SpainDepartment of Clinical Neurophysiology, Vall d’Hebron University Hospital, Passeig Vall d’Hebron 119-129, 08035 Barcelona, SpainNeurotraumatology and Neurosurgery Research Unit, Vall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Barcelona Hospital Campus, Passeig Vall d’Hebron 119-129, 08035 Barcelona, SpainChiari malformation type 1 (CM1) includes various congenital anomalies that share ectopia of the cerebellar tonsils lower than the foramen magnum, in some cases associated with syringomyelia or hydrocephalus. CM1 can cause dysfunction of the brainstem, spinal cord, and cranial nerves. This functional alteration of the nervous system can be detected by various modalities of neurophysiological tests, such as brainstem auditory evoked potentials, somatosensory evoked potentials, motor evoked potentials, electromyography and nerve conduction studies of the cranial nerves and spinal roots, as well as brainstem reflexes. The main goal of this study is to review the findings of multimodal neurophysiological examinations in published studies of patients with CM1 and their indication in the diagnosis, treatment, and follow-up of these patients, as well as their utility in intraoperative monitoring.https://www.mdpi.com/2077-0383/12/20/6472blink reflexbrainstem auditory evoked potentialsbrainstem reflexesChiari type 1 malformationelectromyographyevoked potentials |
| spellingShingle | Dulce Moncho Maria A. Poca Kimia Rahnama M. Ángeles Sánchez Roldán Daniela Santa-Cruz Juan Sahuquillo The Role of Neurophysiology in Managing Patients with Chiari Malformations Journal of Clinical Medicine blink reflex brainstem auditory evoked potentials brainstem reflexes Chiari type 1 malformation electromyography evoked potentials |
| title | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
| title_full | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
| title_fullStr | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
| title_full_unstemmed | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
| title_short | The Role of Neurophysiology in Managing Patients with Chiari Malformations |
| title_sort | role of neurophysiology in managing patients with chiari malformations |
| topic | blink reflex brainstem auditory evoked potentials brainstem reflexes Chiari type 1 malformation electromyography evoked potentials |
| url | https://www.mdpi.com/2077-0383/12/20/6472 |
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