Arnold-Chiari malformation classification: Difference between revisions

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== Overview ==
== Overview ==
Arnold chiari malformation may be classified according to herniation content into 4 subtypes. Type 1 has herniation of cerebellar tonsils. Type 2 has herniation of cerebellar tonsils and vermis. Type 3 has herniation of Cerebellar tonsil and vermins and lower brain stem. Type 4 has cerebellar hypoplasia with brain stem in posterior fossa.
Arnold chiari malformation may be classified according to [[herniation]] content into 4 subtypes. Type 1 has [[herniation]] of [[Cerebellar tonsil|cerebellar tonsils]]. Type 2 has [[herniation]] of [[Cerebellar tonsil|cerebellar tonsils]] and [[Cerebellar vermis|vermis]]. Type 3 has [[herniation]] of [[cerebellar tonsil]] and [[Cerebellar vermis|vermis]] and lower [[brain stem]]. Type 4 has [[cerebellar hypoplasia]] with [[brain stem]] in [[posterior fossa]].


== Classification ==
== Classification ==
Arnold chiari malformation may be classified according to herniation content into 4 subtypes:<ref name="pmid26246090">{{cite journal |vauthors=Cotes C, Bonfante E, Lazor J, Jadhav S, Caldas M, Swischuk L, Riascos R |title=Congenital basis of posterior fossa anomalies |journal=Neuroradiol J |volume=28 |issue=3 |pages=238–53 |date=June 2015 |pmid=26246090 |pmc=4757284 |doi=10.1177/1971400915576665 |url=}}</ref>  
Arnold chiari malformation may be classified according to [[herniation]] content into 4 subtypes:<ref name="pmid26246090">{{cite journal |vauthors=Cotes C, Bonfante E, Lazor J, Jadhav S, Caldas M, Swischuk L, Riascos R |title=Congenital basis of posterior fossa anomalies |journal=Neuroradiol J |volume=28 |issue=3 |pages=238–53 |date=June 2015 |pmid=26246090 |pmc=4757284 |doi=10.1177/1971400915576665 |url=}}</ref>  


{|
{|
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|-
|-
! style="background: #DCDCDC; text-align: center;" |Type1
! style="background: #DCDCDC; text-align: center;" |Type1
| style="background: #F5F5F5;" |Herniation parts: Cerebellar tonsils
| style="background: #F5F5F5;" |[[Herniation]] parts: [[Cerebellar tonsils]]
 
*  
*  
| style="background: #F5F5F5;" |Syringomyelia
| style="background: #F5F5F5;" |[[Syringomyelia]]
|-
|-
! style="background: #DCDCDC; text-align: center;" |Type 2
! style="background: #DCDCDC; text-align: center;" |Type 2
| style="background: #F5F5F5;" |Herniation parts: Cerebellar tonsils and vermis
| style="background: #F5F5F5;" |[[Herniation]] parts: [[Cerebellar tonsils]] and [[vermis]]
 
*  
*  
| style="background: #F5F5F5;" |Lumbosacral myelomeningocele
| style="background: #F5F5F5;" |Lumbosacral [[myelomeningocele]]
|-
|-
! style="background: #DCDCDC; text-align: center;" |Type 3
! style="background: #DCDCDC; text-align: center;" |Type 3
| style="background: #F5F5F5;" |Herniation parts: Cerebellar tonsil and vermins, lower brain stem  
| style="background: #F5F5F5;" |[[Herniation]] parts: [[Cerebellar tonsil]] and [[vermis]], lower [[brain stem]]
 
*  
*  
| style="background: #F5F5F5;" |Occipital encephalocele
| style="background: #F5F5F5;" |[[Occipital]] [[encephalocele]]
|-
|-
! style="background: #DCDCDC; text-align: center;" |Type 4
! style="background: #DCDCDC; text-align: center;" |Type 4
| style="background: #F5F5F5;" |Herniation parts: Brain stem located in posterior fossa, underdeveloped cerebellum
| style="background: #F5F5F5;" |[[Herniation]] parts: [[Brain stem]] located in [[posterior fossa]], underdeveloped [[cerebellum]]
 
*  
*  
| style="background: #F5F5F5;" |A variation of cerebellar hypoplasia
| style="background: #F5F5F5;" |A variation of [[cerebellar hypoplasia]]
|}
|}



Revision as of 14:40, 8 August 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Overview

Arnold chiari malformation may be classified according to herniation content into 4 subtypes. Type 1 has herniation of cerebellar tonsils. Type 2 has herniation of cerebellar tonsils and vermis. Type 3 has herniation of cerebellar tonsil and vermis and lower brain stem. Type 4 has cerebellar hypoplasia with brain stem in posterior fossa.

Classification

Arnold chiari malformation may be classified according to herniation content into 4 subtypes:[1]

Subtypes Explanation Association
Type1 Herniation parts: Cerebellar tonsils
Syringomyelia
Type 2 Herniation parts: Cerebellar tonsils and vermis
Lumbosacral myelomeningocele
Type 3 Herniation parts: Cerebellar tonsil and vermis, lower brain stem
Occipital encephalocele
Type 4 Herniation parts: Brain stem located in posterior fossa, underdeveloped cerebellum
A variation of cerebellar hypoplasia
File:Neck MRI 130850-dichromatic t1-t2-t2.png
Syringomiyelia associated with Chiari malformation


References

  1. Cotes C, Bonfante E, Lazor J, Jadhav S, Caldas M, Swischuk L, Riascos R (June 2015). "Congenital basis of posterior fossa anomalies". Neuroradiol J. 28 (3): 238–53. doi:10.1177/1971400915576665. PMC 4757284. PMID 26246090.


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