Chiari III malformation treated with CSF diversion and delayed surgical closure

William E. Snyder, Thomas G. Luerssen, Joel C. Boaz, John E. Kalsbeck

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Chiari III malformations are extremely rare hindbrain malformations that are associated with a high early mortality rate, or severe neurologic deficits in the survivors. The preferred treatment is early operative closure and CSF shunting. We report a case of a newborn infant with a Chiari III malformation with displacement of the brainstem and cerebellum into the cervical encephalocele which precluded immediate operative closure of the defect. Instead, a ventriculoperitoneal shunt was placed and the patient was followed with serial imaging studies. The child survived. The shunt allowed the brainstem and cerebellum to regress into the cervical spinal canal as the dilated cerebral aqueduct and fourth ventricle decompressed. A delayed closure of the cervical encephalocele was performed at 30 months of age. Cerebrospinal fluid diversion with delayed closure may be an option for large lesions.

Original languageEnglish
Pages (from-to)117-120
Number of pages4
JournalPediatric Neurosurgery
Volume29
Issue number3
StatePublished - 1998

Fingerprint

Encephalocele
Cerebellum
Brain Stem
Cerebral Aqueduct
Fourth Ventricle
Ventriculoperitoneal Shunt
Cerebral Ventricles
Rhombencephalon
Spinal Canal
Neurologic Manifestations
Survivors
Cerebrospinal Fluid
Newborn Infant
Mortality
Therapeutics

Keywords

  • Chiari III malformation
  • Encephalocele
  • Hindbrain malformations

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Snyder, W. E., Luerssen, T. G., Boaz, J. C., & Kalsbeck, J. E. (1998). Chiari III malformation treated with CSF diversion and delayed surgical closure. Pediatric Neurosurgery, 29(3), 117-120.

Chiari III malformation treated with CSF diversion and delayed surgical closure. / Snyder, William E.; Luerssen, Thomas G.; Boaz, Joel C.; Kalsbeck, John E.

In: Pediatric Neurosurgery, Vol. 29, No. 3, 1998, p. 117-120.

Research output: Contribution to journalArticle

Snyder, WE, Luerssen, TG, Boaz, JC & Kalsbeck, JE 1998, 'Chiari III malformation treated with CSF diversion and delayed surgical closure', Pediatric Neurosurgery, vol. 29, no. 3, pp. 117-120.
Snyder WE, Luerssen TG, Boaz JC, Kalsbeck JE. Chiari III malformation treated with CSF diversion and delayed surgical closure. Pediatric Neurosurgery. 1998;29(3):117-120.
Snyder, William E. ; Luerssen, Thomas G. ; Boaz, Joel C. ; Kalsbeck, John E. / Chiari III malformation treated with CSF diversion and delayed surgical closure. In: Pediatric Neurosurgery. 1998 ; Vol. 29, No. 3. pp. 117-120.
@article{7f41d45966f24190bc86d15ae4118b6a,
title = "Chiari III malformation treated with CSF diversion and delayed surgical closure",
abstract = "Chiari III malformations are extremely rare hindbrain malformations that are associated with a high early mortality rate, or severe neurologic deficits in the survivors. The preferred treatment is early operative closure and CSF shunting. We report a case of a newborn infant with a Chiari III malformation with displacement of the brainstem and cerebellum into the cervical encephalocele which precluded immediate operative closure of the defect. Instead, a ventriculoperitoneal shunt was placed and the patient was followed with serial imaging studies. The child survived. The shunt allowed the brainstem and cerebellum to regress into the cervical spinal canal as the dilated cerebral aqueduct and fourth ventricle decompressed. A delayed closure of the cervical encephalocele was performed at 30 months of age. Cerebrospinal fluid diversion with delayed closure may be an option for large lesions.",
keywords = "Chiari III malformation, Encephalocele, Hindbrain malformations",
author = "Snyder, {William E.} and Luerssen, {Thomas G.} and Boaz, {Joel C.} and Kalsbeck, {John E.}",
year = "1998",
language = "English",
volume = "29",
pages = "117--120",
journal = "Pediatric Neurosurgery",
issn = "1016-2291",
publisher = "S. Karger AG",
number = "3",

}

TY - JOUR

T1 - Chiari III malformation treated with CSF diversion and delayed surgical closure

AU - Snyder, William E.

AU - Luerssen, Thomas G.

AU - Boaz, Joel C.

AU - Kalsbeck, John E.

PY - 1998

Y1 - 1998

N2 - Chiari III malformations are extremely rare hindbrain malformations that are associated with a high early mortality rate, or severe neurologic deficits in the survivors. The preferred treatment is early operative closure and CSF shunting. We report a case of a newborn infant with a Chiari III malformation with displacement of the brainstem and cerebellum into the cervical encephalocele which precluded immediate operative closure of the defect. Instead, a ventriculoperitoneal shunt was placed and the patient was followed with serial imaging studies. The child survived. The shunt allowed the brainstem and cerebellum to regress into the cervical spinal canal as the dilated cerebral aqueduct and fourth ventricle decompressed. A delayed closure of the cervical encephalocele was performed at 30 months of age. Cerebrospinal fluid diversion with delayed closure may be an option for large lesions.

AB - Chiari III malformations are extremely rare hindbrain malformations that are associated with a high early mortality rate, or severe neurologic deficits in the survivors. The preferred treatment is early operative closure and CSF shunting. We report a case of a newborn infant with a Chiari III malformation with displacement of the brainstem and cerebellum into the cervical encephalocele which precluded immediate operative closure of the defect. Instead, a ventriculoperitoneal shunt was placed and the patient was followed with serial imaging studies. The child survived. The shunt allowed the brainstem and cerebellum to regress into the cervical spinal canal as the dilated cerebral aqueduct and fourth ventricle decompressed. A delayed closure of the cervical encephalocele was performed at 30 months of age. Cerebrospinal fluid diversion with delayed closure may be an option for large lesions.

KW - Chiari III malformation

KW - Encephalocele

KW - Hindbrain malformations

UR - http://www.scopus.com/inward/record.url?scp=7844249781&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=7844249781&partnerID=8YFLogxK

M3 - Article

VL - 29

SP - 117

EP - 120

JO - Pediatric Neurosurgery

JF - Pediatric Neurosurgery

SN - 1016-2291

IS - 3

ER -