{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:11:07Z","timestamp":1765807867253,"version":"3.48.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Tangdu Hospital development grant","award":["2018LCYJ004"],"award-info":[{"award-number":["2018LCYJ004"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurosurg Rev"],"DOI":"10.1007\/s10143-025-04006-x","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T01:11:58Z","timestamp":1765761118000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cerebellar tonsil remodeling for Chiari I malformation with syringomyelia: cisterna magna volume expansion predicts superior symptom relief"],"prefix":"10.1007","volume":"49","author":[{"given":"Runfeng","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shukai","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baiping","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingxi","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"issue":"3","key":"4006_CR1","doi-asserted-by":"publisher","first-page":"217","DOI":"10.3171\/2019.5.Peds18382","volume":"24","author":"SG McClugage","year":"2019","unstructured":"McClugage SG, Oakes WJ (2019) The Chiari I malformation. J Neurosurg Pediatr 24(3):217\u2013226. https:\/\/doi.org\/10.3171\/2019.5.Peds18382","journal-title":"J Neurosurg Pediatr"},{"issue":"6","key":"4006_CR2","doi-asserted-by":"publisher","first-page":"997","DOI":"10.3174\/ajnr.A1995","volume":"31","author":"S Hentschel","year":"2010","unstructured":"Hentschel S, Mardal KA, L\u00f8vgren AE, Linge S, Haughton V (2010) Characterization of cyclic CSF flow in the foramen magnum and upper cervical spinal canal with MR flow imaging and computational fluid dynamics. AJNR Am J Neuroradiol 31(6):997\u20131002. https:\/\/doi.org\/10.3174\/ajnr.A1995","journal-title":"AJNR Am J Neuroradiol"},{"issue":"Suppl 3","key":"4006_CR3","doi-asserted-by":"publisher","first-page":"S232","DOI":"10.4103\/2152-7806.98580","volume":"3","author":"J Baisden","year":"2012","unstructured":"Baisden J (2012) Controversies in Chiari I malformations. Surg Neurol Int 3(Suppl 3):S232\u2013237. https:\/\/doi.org\/10.4103\/2152-7806.98580","journal-title":"Surg Neurol Int"},{"key":"4006_CR4","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.wneu.2015.11.087","volume":"88","author":"JL Zhao","year":"2016","unstructured":"Zhao JL, Li MH, Wang CL, Meng W (2016) A systematic review of Chiari I malformation: techniques and outcomes. World Neurosurg 88:7\u201314. https:\/\/doi.org\/10.1016\/j.wneu.2015.11.087","journal-title":"World Neurosurg"},{"issue":"7","key":"4006_CR5","doi-asserted-by":"publisher","first-page":"1585","DOI":"10.1007\/s00701-019-04177-9","volume":"162","author":"B Liu","year":"2020","unstructured":"Liu B, Wang Y, Liu S et al (2020) Tonsillectomy with modified reconstruction of the cisterna magna with and without craniectomy for the treatment of adult Chiari malformation type I with syringomyelia. Acta Neurochir (Wien) 162(7):1585\u20131595. https:\/\/doi.org\/10.1007\/s00701-019-04177-9","journal-title":"Acta Neurochir (Wien)"},{"issue":"4","key":"4006_CR6","doi-asserted-by":"publisher","first-page":"899","DOI":"10.1227\/01.neu.0000083591.22113.cb","volume":"53","author":"TH Milhorat","year":"2003","unstructured":"Milhorat TH, Bolognese PA (2003) Tailored operative technique for Chiari type I malformation using intraoperative color Doppler ultrasonography. Neurosurgery 53(4):899\u2013906. https:\/\/doi.org\/10.1227\/01.neu.0000083591.22113.cb","journal-title":"Neurosurgery"},{"issue":"4","key":"4006_CR7","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1080\/02688697.2021.1981238","volume":"38","author":"MSA Dherijha","year":"2024","unstructured":"Dherijha MSA, Waqar M, Palin MS, Bukhari S (2024) Foramen magnum decompression in adults with Chiari type 1 malformation: use of intraoperative ultrasound to guide extent of surgery. Br J Neurosurg 38(4):853\u2013856. https:\/\/doi.org\/10.1080\/02688697.2021.1981238","journal-title":"Br J Neurosurg"},{"issue":"3","key":"4006_CR8","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1179\/016164111x12962202723841","volume":"33","author":"JJ Or\u00f3","year":"2011","unstructured":"Or\u00f3 JJ, Mueller DM (2011) Posterior fossa decompression and reconstruction in adolescents and adults with the Chiari I malformation. Neurol Res 33(3):261\u2013271. https:\/\/doi.org\/10.1179\/016164111x12962202723841","journal-title":"Neurol Res"},{"issue":"3","key":"4006_CR9","doi-asserted-by":"publisher","first-page":"647","DOI":"10.3171\/2010.11.Jns102148","volume":"115","author":"R Noudel","year":"2011","unstructured":"Noudel R, Gomis P, Sotoares G et al (2011) Posterior fossa volume increase after surgery for Chiari malformation Type I: a quantitative assessment using magnetic resonance imaging and correlations with the treatment response. J Neurosurg 115(3):647\u2013658. https:\/\/doi.org\/10.3171\/2010.11.Jns102148","journal-title":"J Neurosurg"},{"issue":"1","key":"4006_CR10","doi-asserted-by":"publisher","first-page":"21","DOI":"10.3171\/jns.2001.94.1.0021","volume":"94","author":"LT Holly","year":"2001","unstructured":"Holly LT, Batzdorf U (2001) Management of cerebellar ptosis following craniovertebral decompression for Chiari I malformation. J Neurosurg 94(1):21\u201326. https:\/\/doi.org\/10.3171\/jns.2001.94.1.0021","journal-title":"J Neurosurg"},{"issue":"3","key":"4006_CR11","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2000.8.3.6","volume":"8","author":"RG Ellenbogen","year":"2000","unstructured":"Ellenbogen RG, Armonda RA, Shaw DW, Winn HR (2000) Toward a rational treatment of Chiari I malformation and syringomyelia. Neurosurg Focus 8(3):E6. https:\/\/doi.org\/10.3171\/foc.2000.8.3.6","journal-title":"Neurosurg Focus"},{"issue":"5","key":"4006_CR12","doi-asserted-by":"publisher","first-page":"1018","DOI":"10.3171\/jns.2002.97.5.1018","volume":"97","author":"JA Lazareff","year":"2002","unstructured":"Lazareff JA, Galarza M, Gravori T, Spinks TJ (2002) Tonsillectomy without craniectomy for the management of infantile Chiari I malformation. J Neurosurg 97(5):1018\u20131022. https:\/\/doi.org\/10.3171\/jns.2002.97.5.1018","journal-title":"J Neurosurg"},{"issue":"11","key":"4006_CR13","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1007\/bf00300718","volume":"11","author":"EG Fischer","year":"1995","unstructured":"Fischer EG (1995) Posterior fossa decompression for Chiari I deformity, including resection of the cerebellar tonsils. Childs Nerv Syst 11(11):625\u2013629. https:\/\/doi.org\/10.1007\/bf00300718","journal-title":"Childs Nerv Syst"},{"issue":"5","key":"4006_CR14","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1159\/000121266","volume":"27","author":"DJ Won","year":"1997","unstructured":"Won DJ, Nambiar U, Muszynski CA, Epstein FJ (1997) Coagulation of herniated cerebellar tonsils for cerebrospinal fluid pathway restoration. Pediatr Neurosurg 27(5):272\u2013275. https:\/\/doi.org\/10.1159\/000121266","journal-title":"Pediatr Neurosurg"},{"issue":"2","key":"4006_CR15","doi-asserted-by":"publisher","first-page":"232","DOI":"10.3171\/2012.10.Jns12305","volume":"118","author":"U Batzdorf","year":"2013","unstructured":"Batzdorf U, McArthur DL, Bentson JR (2013) Surgical treatment of Chiari malformation with and without syringomyelia: experience with 177 adult patients. J Neurosurg 118(2):232\u2013242. https:\/\/doi.org\/10.3171\/2012.10.Jns12305","journal-title":"J Neurosurg"},{"issue":"10","key":"4006_CR16","doi-asserted-by":"publisher","first-page":"1015","DOI":"10.1007\/s00701-007-1276-0","volume":"149","author":"P Perrini","year":"2007","unstructured":"Perrini P, Benedetto N, Tenenbaum R, Di Lorenzo N (2007) Extra-arachnoidal cranio-cervical decompression for syringomyelia associated with Chiari I malformation in adults: technique assessment. Acta Neurochir (Wien) 149(10):1015\u20131022. https:\/\/doi.org\/10.1007\/s00701-007-1276-0","journal-title":"Acta Neurochir (Wien)"},{"issue":"4","key":"4006_CR17","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1136\/jnnp.44.4.273","volume":"44","author":"V Logue","year":"1981","unstructured":"Logue V, Edwards MR (1981) Syringomyelia and its surgical treatment\u2013an analysis of 75 patients. J Neurol Neurosurg Psychiatry 44(4):273\u2013284. https:\/\/doi.org\/10.1136\/jnnp.44.4.273","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"4","key":"4006_CR18","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1007\/s10143-009-0214-4","volume":"32","author":"D Chauvet","year":"2009","unstructured":"Chauvet D, Carpentier A, George B (2009) Dura splitting decompression in Chiari type 1 malformation: clinical experience and radiological findings. Neurosurg Rev 32(4):465\u2013470. https:\/\/doi.org\/10.1007\/s10143-009-0214-4","journal-title":"Neurosurg Rev"},{"issue":"2 Suppl","key":"4006_CR19","doi-asserted-by":"publisher","first-page":"184","DOI":"10.3171\/ped.2004.101.2.0184","volume":"101","author":"FM Limonadi","year":"2004","unstructured":"Limonadi FM, Selden NR (2004) Dura-splitting decompression of the craniocervical junction: reduced operative time, hospital stay, and cost with equivalent early outcome. J Neurosurg 101(2 Suppl):184\u2013188. https:\/\/doi.org\/10.3171\/ped.2004.101.2.0184","journal-title":"J Neurosurg"},{"key":"4006_CR20","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1007\/978-3-319-62515-7_14","volume":"125","author":"P Ciappetta","year":"2019","unstructured":"Ciappetta P, Signorelli F, Visocchi M (2019) The role of arachnoid veils in Chiari malformation associated with syringomyelia. Acta Neurochir Suppl 125:97\u201399. https:\/\/doi.org\/10.1007\/978-3-319-62515-7_14","journal-title":"Acta Neurochir Suppl"},{"key":"4006_CR21","doi-asserted-by":"publisher","unstructured":"Aliaga L, Hekman KE, Yassari R et al (2012) A novel scoring system for assessing Chiari malformation type I treatment outcomes.Neurosurgery;70(3): 656\u2013664.https:\/\/doi.org\/10.1227\/NEU.0b013e31823200a6","DOI":"10.1227\/NEU.0b013e31823200a6"},{"issue":"1","key":"4006_CR22","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1046\/j.1440-1789.2000.00281.x","volume":"20","author":"N Nakamura","year":"2000","unstructured":"Nakamura N, Iwasaki Y, Hida K, Abe H, Fujioka Y, Nagashima K (2000) Dural band pathology in syringomyelia with Chiari type I malformation. Neuropathology 20(1):38\u201343. https:\/\/doi.org\/10.1046\/j.1440-1789.2000.00281.x","journal-title":"Neuropathology"},{"issue":"3","key":"4006_CR23","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.clineuro.2010.10.011","volume":"113","author":"LG Cui","year":"2011","unstructured":"Cui LG, Jiang L, Zhang HB et al (2011) Monitoring of cerebrospinal fluid flow by intraoperative ultrasound in patients with Chiari I malformation. Clin Neurol Neurosurg 113(3):173\u2013176. https:\/\/doi.org\/10.1016\/j.clineuro.2010.10.011","journal-title":"Clin Neurol Neurosurg"},{"issue":"6","key":"4006_CR24","doi-asserted-by":"publisher","first-page":"622","DOI":"10.3171\/2014.10.Spine1433","volume":"22","author":"JL Quon","year":"2015","unstructured":"Quon JL, Grant RA, DiLuna ML (2015) Multimodal evaluation of CSF dynamics following extradural decompression for Chiari malformation type I. J Neurosurg Spine 22(6):622\u2013630. https:\/\/doi.org\/10.3171\/2014.10.Spine1433","journal-title":"J Neurosurg Spine"},{"issue":"11","key":"4006_CR25","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.1007\/s00234-013-1269-z","volume":"55","author":"N Whitney","year":"2013","unstructured":"Whitney N, Sun H, Pollock JM, Ross DA (2013) The human foramen magnum-normal anatomy of the cisterna magna in adults. Neuroradiology 55(11):1333\u20131339. https:\/\/doi.org\/10.1007\/s00234-013-1269-z","journal-title":"Neuroradiology"}],"container-title":["Neurosurgical Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-04006-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10143-025-04006-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-04006-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:02:30Z","timestamp":1765807350000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10143-025-04006-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,15]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4006"],"URL":"https:\/\/doi.org\/10.1007\/s10143-025-04006-x","relation":{},"ISSN":["1437-2320"],"issn-type":[{"type":"electronic","value":"1437-2320"}],"subject":[],"published":{"date-parts":[[2025,12,15]]},"assertion":[{"value":"30 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 November 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 December 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 December 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The participants gave written informed consent for participation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Constent to publish has been received from all participants.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"not applicable as this is a retrospective observational study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial registration"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Tang Du Hospital affiliated to the Forth Military Medical University (No. TD-K202201-10).","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Research ethics"}},{"value":"The authors declare no competing interests.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"72"}}