ABSTRACT
This literature review is devoted to the clinical and pathogenic aspects of the relationship between Chiari type I malformation (CMT) and scoliosis. The view of the clinical presentation development in CMT associated with scoliosis is considered on the basis of both the CSF dynamics disturbances and vascular pathology of the craniovertebral junction. The role of the posterior atlanto-occipital membrane is evaluated. Case reports of the risk factors for scoliosis progression in patients with CMT are presented.
Subject(s)
Cervical Atlas , Scoliosis , Skull Base , Adolescent , Cervical Atlas/abnormalities , Cervical Atlas/physiopathology , Child , Child, Preschool , Female , Humans , Male , Scoliosis/pathology , Scoliosis/physiopathology , Skull Base/abnormalities , Skull Base/physiopathologyABSTRACT
Chiari I malformation (CM) is usually associated with CSF flow disturbances at the level of craniovertebral junction. In current literature a few articles aim to demonstrate blood flow disturbances in Chiari I malformation patients. The paper discusses the role of posterior atlantooccipital membrane in vertebrobasilar insufficiency development and presents a case of successful treatment of blood flow alterations after decompression of craniovertebral junction and posterior atlantooccipital membrane resection.
