Arnold-Chiari malformation classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.


Overview

Arnold chiari malformation may be classified according to herniation content into 4 subtypes. Type 1 has herniation of cerebellar tonsils. Type 2 has herniation of cerebellar tonsils and vermis. Type 3 has herniation of cerebellar tonsil and vermis and lower brain stem. Type 4 has cerebellar hypoplasia with brain stem in posterior fossa.

Classification

Arnold chiari malformation may be classified according to herniation content into 4 subtypes:[1]

Subtypes Explanation Association
Type1 Herniation parts: Cerebellar tonsils
Syringomyelia
Type 2 Herniation parts: Cerebellar tonsils and vermis
Lumbosacral myelomeningocele
Type 3 Herniation parts: Cerebellar tonsil and vermis, lower brain stem
Occipital encephalocele
Type 4 Herniation parts: Brain stem located in posterior fossa, underdeveloped cerebellum
A variation of cerebellar hypoplasia
File:Neck MRI 130850-dichromatic t1-t2-t2.png
Syringomiyelia associated with Chiari malformation


References

  1. Cotes C, Bonfante E, Lazor J, Jadhav S, Caldas M, Swischuk L, Riascos R (June 2015). "Congenital basis of posterior fossa anomalies". Neuroradiol J. 28 (3): 238–53. doi:10.1177/1971400915576665. PMC 4757284. PMID 26246090.


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