Anatomoclinical correlation and main radiological findings in a patient affected by Arnold Chiari's malformation: a review
DOI:
https://doi.org/10.33448/rsd-v10i4.8130Keywords:
Arnold Chiari malformation; Posterior pit; Cerebellar herniation.Abstract
Chiari's malformation is within the spectrum of congenital abnormalities of the central nervous system (CNS). It is characterized by a complex deformity of the posterior fossa associated almost always with a malformation of the spine. Chiari malformation is still a subject of little evidence in literature, where new studies on this parameter may trigger influences for researchers in the field. The objectives of this study were to describe the main alterations found in the nervous system in individuals with Chiari malformation. It is a literature review study. The following descriptors were used for the search: Chiari malformation, Posterior Pit and Craniovertebral Junction (together and separately). In the selection criteria, full articles were chosen for the period: 2016 - 2019, in the languages: Portuguese and English. The searches were made in the databases: Scielo, Pubmed and Google academic. The articles were selected first by title, then by abstract, and finally by full reading. Based on the established criteria, 3 articles were selected that contemplate the theme. The literature shows that the most suggestive brain alterations of this pathology are cerebellar abnormalities such as caudal displacement of the bridge, IV ventricle and bulb; medullary torsion; IV ventricle in abnormal shape and hypoplasia of the cerebellum tent and mesencephalic ceiling. It is noticeable that Chiari's malformation can cause alterations that can vary from lighter to more severe. New studies are needed on this subject, as well as solutions to improve the quality of life of patients affected by this syndrome.
References
Araújo, I. A., de Amorim, E. F., Santana, L. M. M., de Alencar, E. P., Araújo, M. I. A., & Fernandes, P. E. Malformação de Arnold-Chiari: uma revisão bibliográfica
Araújo, D. L., Machado, B. A. da S., Falcão, C. P. M., Marques, L. L. B. L., Nascimento, M. P. do, Silva, M. D. S., Silva, A. C. F. da, Barbosa, M. G. A., Souza, M. C. T. de, Fernandes, A. S. C., Diniz, M. das G. de A., Silva, G. V. da, & Souza, J. da S. (2020). Utilização da ressonância magnética para diagnóstico da esclerose múltipla. Research, Society and Development, 9(8), e546985936. https://doi.org/10.33448/rsd-v9i8.5936
Biasi, P. R., Roso, L. R. T., Manfroi, G., Espanhol, R. A., de Lacerda Almeida, T. A., Brunet, M. P., ... & Crusius, M. U. (2016). Chiari IV Malformation, the Lückenschädel and Sagittal Craniosynostosis Association: Case Report and Literature Review. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 35(01), 074-077.
Brito, J. N. P. D. O., Santos, B. A. D., Nascimento, I. F., Martins, L. A., & Tavares, C. B. (2019). Basilar invagination associated with chiari malformation type I: A literature review. Clinics, 74.
Brock, R. S., dos Santos, J. G. R. P., Taricco, M. A., de Oliveira, M. F., de Lima Oliveira, M., Teixeira, M. J., & Bor-Seng-Shu, E. (2017). Dural Closure in Chiari I Malformation. Technique Description and Analysis of Results. JBNC-Jornal Brasileiro de Neurocirurgia, 28(2).
Brock, R. S. Ultrassonografia intraoperatória para avaliação da necessidade de duroplastia no tratamento cirúrgico de doentes com malformação de Chiari tipo I (Doctoral dissertation, Universidade de São Paulo).
Dahlem, C. S., Pereira, A. I., & Gomes, T. V. (2016). Is spinal block safe for cesarean delivery?–a case report of a patient with uncorrected type 1 Chiari malformation. Revista da Sociedade Portuguesa de Anestesiologia, 25(4), 127-129.
de Figueirêdo Furtado, R. F., Carvalho, R. L., de Sousa, E. P., Coutinho, V. E. A., Moreira, J. A., & Pinto, M. G. Malformações congênitas relacionadas ao sistema nervoso de récem-nascidos das macrorregiões do estado do Ceará.
de Magalhães, M. J. D. S., Pimenta, B. P. M., Gomes, H. O., Neto, J. V. F., de Oliveira, R. V., & Novais, S. S. (2019). Alterações neuroanatômicas do encéfalo na malformação Arnold-Chiari II. Revista Eletrônica Acervo Saúde, (19), e710-e710.
de Souza, I. A., Gomes, M. B., Ramires, G. E., de Campos, F. F., & Baracat, F. I. (2019). Malformação de Chiari i: relato de caso. Revista Uningá, 56(2), 44-49.
Gazzola, L. D. P. L. (2019). Malformações congênitas: reflexões médicas, jurídicas e bioéticas em busca da autonomia na gestação e na abordagem neonatal.
Heringer, L. C., de Oliveira, M. F., de Sousa, U. O., de Lima, W. C., & Botelho, R. V. (2016). Improvement of Hydrocephalus in Patients with Chiari Malformation After Posterior Fossa Decompression. JBNC-Jornal Brasileiro de Neurocirurgia, 27(1), 71-73.
Jesus, N. O. D., Maruta, E. C. S., & Azevedo, M. F. D. (2018). Hearing impairment in newborns and infants with myelomeningocele. Audiology-Communication Research, 23.
Joaquim, A. F. (2020). Severe Cerebellar Degeneration and Chiari I Malformation-Speculative pathophysiology based on a systematic review. Revista da Associação Médica Brasileira, 66(3), 375-379.
Lobão, C. A. F., de Oliveira Sousa, U., Cabral, D. A. C., & Campos, F. M. S. (2020). Hemifacial Spasm Associated with Chiari Type I Malformation: Surgical Considerations and Case Report. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 39(02), 136-141.
Neto, E. R., Brock, R., Paiva, W. S., Frigieri, G., Teixeira, M. J., & Amorim, R. (2018). Monitoração não invasiva transoperatória da pressão intracraniana em paciente com malformação de Chiari tipo 1: relato de caso e prospecção do significado e aplicabilidade clínica do método. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 37(S 01), A1494.
Rabelo, N. N., Pereira, V. H. H., Rocha, A. B., Guarnieri, I. C., Rabelo, N. N., Dias, L. A. A., & Pereira, C. U. (2017). Brief historical note about Hans van Chiari (1851-1916). JBNC-Jornal Brasileiro de Neurocirurgia, 28(1), 13-15.
Ribeiro, E. C. D. O. (2019). Parâmetros do volume da fossa posterior na impressão basilar do tipo b na braquicefalia (Master's thesis, Brasil).
Sabba, M. F., Renor, B. S., Ghizoni, E., Tedeschi, H., & Joaquim, A. F. (2017). Posterior fossa decompression with duraplasty in Chiari surgery: A technical note. Revista da Associação Médica Brasileira, 63(11), 946-949.
Santos, M. V., Furlanetti, L. L., Canheu, A. C., Bellas, A. R., da Silva, M. C., Cavalheiro, S., & de Oliveira, R. S. (2020). Management of Chiari I deformity in Children and Adolescents: A report from the Consensus Taskforce of the Brazilian Society of Pediatric Neurosurgery. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 39(02), 125-131.
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Copyright (c) 2021 Daniel Lopes Araújo; Maxsuel Pereira do Nascimento; Maria Clara Teles de Souza; Andresa Salinny Carvalho Fernandes; Maria das Graças de Azevedo Diniz; Francimar Alves de Oliveira Neto; Letícia Araújo Bandeira; Annarelly Morais Mendes; Bruno Abilio da Silva Machado; Lucas Leite Cavalcante; Bianca Barroso de Sousa
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