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- Title
The Role of Neurophysiology in Managing Patients with Chiari Malformations.
- Authors
Moncho, Dulce; Poca, Maria A.; Rahnama, Kimia; Sánchez Roldán, M. Ángeles; Santa-Cruz, Daniela; Sahuquillo, Juan
- Abstract
Chiari malformation type 1 (CM1) includes various congenital anomalies that share ectopia of the cerebellar tonsils lower than the foramen magnum, in some cases associated with syringomyelia or hydrocephalus. CM1 can cause dysfunction of the brainstem, spinal cord, and cranial nerves. This functional alteration of the nervous system can be detected by various modalities of neurophysiological tests, such as brainstem auditory evoked potentials, somatosensory evoked potentials, motor evoked potentials, electromyography and nerve conduction studies of the cranial nerves and spinal roots, as well as brainstem reflexes. The main goal of this study is to review the findings of multimodal neurophysiological examinations in published studies of patients with CM1 and their indication in the diagnosis, treatment, and follow-up of these patients, as well as their utility in intraoperative monitoring.
- Subjects
ARNOLD-Chiari deformity; AUDITORY evoked response; NEUROPHYSIOLOGY; NERVE conduction studies; EVOKED potentials (Electrophysiology); AUDITORY neuropathy; WORD deafness
- Publication
Journal of Clinical Medicine, 2023, Vol 12, Issue 20, p6472
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm12206472