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- Stephanie N Steinberg, Jeffrey P Greenfield, and Kenneth Perrine.
- Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA.
- World Neurosurg. 2020 Apr 1; 136: 462-469.
AbstractChiari malformation comprises a spectrum of congenital malformations characterized by a herniation of the cerebellar tonsils below the foramen magnum. Chiari malformation type I (CM-I) is the most prevalent subtype seen in clinical practice. This condition variably compresses the cerebellum and medulla-spinal cord junction secondary to malformation of the posterior fossa. Most neurologists and neurosurgeons recognize the sensorimotor and lower brainstem manifestations that result in the clinical picture of CM-I. The effects of CM-I on cognitive functioning, however, and their impact on neuropsychological performance are poorly understood, despite having long been recognized. This article reviews neuropsychological deficits demonstrated by individuals with CM-I, and explores cerebellocortical neuroanatomic pathways to provide possible rationale for the neurocognitive impairments present in affected individuals.Copyright © 2020 Elsevier Inc. All rights reserved.
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