scholarly journals Does surgical intervention alter the natural history of patella alta in ambulatory children with cerebral palsy?

2015 ◽  
Vol 57 ◽  
pp. 105-106
2018 ◽  
Vol 80 ◽  
pp. 84-92 ◽  
Author(s):  
Rory O’Sullivan ◽  
Frances Horgan ◽  
Tim O’Brien ◽  
Helen French

1989 ◽  
Vol 64 (3) ◽  
pp. 436-436
Author(s):  
L Rosenbloom

2021 ◽  
Vol 14 (6) ◽  
pp. e241789
Author(s):  
Hadleigh Cuthbert ◽  
Joshua Pepper ◽  
Rupert Price

The Chiari I malformation (CM-I) is characterised by overcrowding of the posterior fossa and descent of the cerebellar tonsils and is associated with syringomyelia. With the increasing availability of magnetic resonance imaging, CM-I is placing a growing burden on neurosurgical services. However, its natural history remains poorly understood, and the timing and nature of surgical intervention is controversial. We present a case of a significant, symptomatic CM-I with associated syrinx which underwent complete spontaneous resolution over a 4-year period. Spontaneous regression of Chiari malformation and syringomyelia is exceedingly rare; a literature review reveals 15 other cases and only one case which underwent complete resolution. The present case and literature review suggest a more benign natural history of CM-I and support a more conservative approach to its management. Further studies are required to determine whether any factors can predict resolution for certain patient cohorts.


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