The first posterior fossa decompression for Chiari malformation: The contributions of Cornelis Joachimus van Houweninge Graftdijk and a review of the infancy of "chiari decompression"

Martin M. Mortazavi, R. Shane Tubbs, Todd C. Hankinson, Jeffrey A. Pugh, Aaron A. Cohen-Gadol, W. Jerry Oakes

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Over the past several decades, our understanding of the pathophysiology of hindbrain hernias has markedly increased. Additionally, with the advent of MRI, diagnosis of these entities is common. Although the history of the discovery of what are now known as the Chiari malformations is well known, publications regarding the historical surgical treatment of these is, to our knowledge, not extant. Many have attributed the first successful patient series to Gardner in the 1950s. However, and unknown to many, the first description of a hindbrain decompression was in 1930 by the Dutchman Cornelis Joachimus van Houweninge Graftdijk. This neurosurgeon also added to our understanding the pathophysiology of hindbrain herniation and its relationship to raised intracranial pressure. The present paper reviews the contributions of this early pioneer of neurosurgery.

Original languageEnglish (US)
Pages (from-to)1851-1856
Number of pages6
JournalChild's Nervous System
Volume27
Issue number11
DOIs
StatePublished - Nov 2011

Keywords

  • Arnold-Chiari
  • Hindbrain hernia
  • History
  • Neurosurgery
  • Surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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