Early Postoperative Magnetic Resonance Imaging Findings Related to Electrocauterization for Cerebellar Reduction During Chiari Decompression Surgery.
Cerebellar tonsillar reduction or resection can be performed as part of the surgical management of Chiari type 1 malformation when it is accompanied by symptomatic brainstem compression or syringomyelia. The purpose of this study is to characterize the early postoperative magnetic resonance imaging…
Spinal Deformity Characteristics Associated With Intraspinal Anomalies in a Population of Presumed Adolescent Idiopathic Scoliosis (AIS).
Intraspinal anomalies (IA) are reported to occur in 7% to 19% of patients undergoing surgery for adolescent idiopathic scoliosis (AIS). However, these studies have not focused on IA that require neurosurgical intervention and have not assessed whether deformity characteristics predict their underlyi…
Ophthalmic manifestations of Chiari malformation: a systematic review.
Chiari malformation (CM) comprises congenital or acquired hindbrain herniations (>5-mm cerebellar tonsillar descent below the foramen magnum) that disrupt cerebrospinal fluid flow and compress neural structures. While neurological symptoms are well recognized, ophthalmic manifestations, such as papi…
Chiari I Malformation as a Human Disease Model of Cerebellar Cognitive-Affective Dysfunction.
Chiari malformation type I (CM1) is traditionally viewed as a structural disorder of the posterior fossa characterized by cerebellar tonsillar herniation. However, growing evidence indicates that CM1 is frequently accompanied by disturbances in cognition, emotion, and behavior that cannot be fully e…
Endovascular stenting of chronic retrohepatic inferior vena cava interruption in Budd-Chiari syndrome.
Budd-Chiari syndrome is a rare cause of hepatic venous outflow obstruction, with heterogenous etiologies. We report the case of a 35-year-old man with chronic, compensated Budd-Chiari syndrome due to retrohepatic inferior vena cava (IVC) occlusion, likely resulting from early-life thrombosis. Imagin…
A rare case of near-complete resolution of extensive cervicothoracic syrinx following bilateral cerebellar tonsillar resection in Chiari malformation type I.
Chiari malformation type I (CM-I) often leads to syringomyelia (SM) through impaired cerebrospinal fluid (CSF) flow at the craniocervical junction, resulting in progressive neurological deficits. A 27-year-old woman presented with a 6-month history of severe occipital headaches, neck pain, bilateral…
Not all acute peripheral facial palsy in children recovers completely: A telediagnostic follow-up study.
Up to 30% of adults with peripheral facial palsy (FP) develop synkinesis, but it's incidence in children remains unclear due to limited long-term data. Children (<18 years) treated for acute peripheral FP at Jena University Hospital between 2009 and 2021 were screened in this cross-sectional study.…
"Intrapericardial Approach" for Venous Outflow Reconstruction in Living-Donor Liver Transplantation for Budd-Chiari Syndrome: Surgical Techniques and LongTerm Outcomes.
Unlike deceased-donor liver transplantation, living-donor liver transplantation (LDLT) for Budd-Chiari Syndrome (BCS) presents distinctive challenges in hepatic venous (HV)-outflow reconstruction because diseased HV-inferior vena cava (IVC) cannot be entirely replaced with healthy donor vessels. In…