{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T15:33:14Z","timestamp":1793719994188,"version":"4.6.1"},"reference-count":38,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jocn-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Neuroscience"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1016\/j.jocn.2025.111310","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T19:10:14Z","timestamp":1746817814000},"page":"111310","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["Atlantoaxial instability in Chiari formation- an analysis based on static and dynamic head imaging in 35 patients"],"prefix":"10.1016","volume":"137","author":[{"given":"Atul","family":"Goel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Saad","family":"Abdel Aziz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhidha","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apurva","family":"Prasad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravikiran","family":"Vutha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Abdulbasit","family":"Almzeogi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.jocn.2025.111310_b0005","doi-asserted-by":"crossref","first-page":"116","DOI":"10.3171\/2014.10.SPINE14176","article-title":"Is atlantoaxial instability the cause of Chiari malformation? Outcome analysis of 65 patients treated by atlantoaxial fixation","volume":"22","author":"Goel","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.jocn.2025.111310_b0010","doi-asserted-by":"crossref","first-page":"e921","DOI":"10.1016\/j.wneu.2020.06.076","article-title":"Chiari 1 Formation Redefined-Clinical and Radiographic Observations in 388 Surgically Treated Patients","volume":"141","author":"Goel","year":"2020","journal-title":"WORLD Neurosurg"},{"key":"10.1016\/j.jocn.2025.111310_b0015","doi-asserted-by":"crossref","first-page":"15","DOI":"10.4103\/0974-8237.135210","article-title":"Goel's classification of atlantoaxial \u2018facetal\u2019 dislocation","volume":"5","author":"Goel","year":"2014","journal-title":"J Craniovertebr Junction Spine"},{"key":"10.1016\/j.jocn.2025.111310_b0020","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/978-3-031-36084-8_41","article-title":"Central Atlantoaxial Dislocation: Presenting Symptoms, Diagnostic Parameters, and Surgical Treatment from Reports on 15 Surgically Treated Patients","volume":"135","author":"Goel","year":"2023","journal-title":"Acta Neurochir Suppl"},{"issue":"3","key":"10.1016\/j.jocn.2025.111310_b0025","doi-asserted-by":"crossref","first-page":"E13","DOI":"10.3171\/2022.12.FOCUS22634","article-title":"Central or axial atlantoaxial dislocation and craniovertebral junction alterations: a review of 393 patients treated over 12 years","volume":"54","author":"Shah","year":"2023","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.jocn.2025.111310_b0030","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/j.wneu.2020.10.093","article-title":"In Reply to the Letter to the Editor Regarding \u201cChiari 1 Formation Redefined - Clinical and Radiographic Observations in 388 Surgically Treated Patients\u201d","volume":"145","author":"Goel","year":"2021","journal-title":"WORLD Neurosurg"},{"issue":"5","key":"10.1016\/j.jocn.2025.111310_b0035","first-page":"560","article-title":"Atlantoaxial instability and Chiari malformation\u2013response","volume":"22","author":"Goel","year":"2015","journal-title":"J Neurosurg Spine"},{"issue":"2","key":"10.1016\/j.jocn.2025.111310_b0040","first-page":"e33","article-title":"Letter: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Patients With Chiari Malformation: Surgical Interventions","volume":"94","author":"Goel","year":"2024","journal-title":"Neurosurgery"},{"issue":"3","key":"10.1016\/j.jocn.2025.111310_b0045","doi-asserted-by":"crossref","first-page":"393","DOI":"10.3171\/2015.1.SPINE1581","article-title":"Does atlantoaxial dislocation really cause Chiari?","volume":"23","author":"Rahman","year":"2015","journal-title":"J Neurosurg Spine"},{"issue":"3","key":"10.1016\/j.jocn.2025.111310_b0050","first-page":"391","volume":"23","author":"Response","year":"2015","journal-title":"J Neurosurg Spine"},{"issue":"3","key":"10.1016\/j.jocn.2025.111310_b0055","doi-asserted-by":"crossref","first-page":"390","DOI":"10.3171\/2015.1.SPINE154","article-title":"Atlantoaxial facet dislocation and Chiari malformation","volume":"23","author":"Yin","year":"2015","journal-title":"J Neurosurg Spine"},{"issue":"2","key":"10.1016\/j.jocn.2025.111310_b0060","doi-asserted-by":"crossref","first-page":"150","DOI":"10.3171\/2014.12.PEDS14487","article-title":"Outcomes after suboccipital decompression without dural opening in children with Chiari malformation Type I","volume":"16","author":"Kennedy","year":"2015","journal-title":"J Neurosurg Pediatr"},{"issue":"6","key":"10.1016\/j.jocn.2025.111310_b0065","doi-asserted-by":"crossref","first-page":"758","DOI":"10.3171\/2015.6.PEDS15339","article-title":"Durotomy and foramen magnum decompression","volume":"16","author":"Goel","year":"2015","journal-title":"J Neurosurg Pediatr"},{"issue":"5","key":"10.1016\/j.jocn.2025.111310_b0070","doi-asserted-by":"crossref","first-page":"559","DOI":"10.3171\/2014.12.SPINE141194","article-title":"Atlantoaxial instability and Chiari malformation","volume":"22","author":"Joaquim","year":"2015","journal-title":"J Neurosurg Spine"},{"issue":"2","key":"10.1016\/j.jocn.2025.111310_b0075","first-page":"114","volume":"22","author":"Response","year":"2015","journal-title":"J Neurosurg Spine"},{"issue":"6","key":"10.1016\/j.jocn.2025.111310_b0080","first-page":"821","volume":"23","author":"Response","year":"2015","journal-title":"J Neurosurg Spine"},{"issue":"3","key":"10.1016\/j.jocn.2025.111310_b0085","doi-asserted-by":"crossref","first-page":"393","DOI":"10.3171\/2015.1.SPINE1581","volume":"23","author":"Response","year":"2015","journal-title":"J Neurosurg Spine"},{"issue":"3","key":"10.1016\/j.jocn.2025.111310_b0090","first-page":"391","volume":"23","author":"Response","year":"2015","journal-title":"J Neurosurg Spine"},{"issue":"6","key":"10.1016\/j.jocn.2025.111310_b0095","doi-asserted-by":"crossref","first-page":"820","DOI":"10.3171\/2015.3.SPINE15233","article-title":"Chiari malformation Type 1 and atlantoaxial instability: a letter from the Pediatric Craniocervical Society","volume":"23","author":"Brockmeyer","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.jocn.2025.111310_b0100","doi-asserted-by":"crossref","first-page":"e134","DOI":"10.1016\/j.wneu.2024.05.058","article-title":"Post-Traumatic Central or Axial Atlantoaxial Dislocation Presenting with \u201cAtypical\u201d Symptoms-Analyzing the Role of Dynamic Imaging on the Basis of Experience with 14 Patients Treated by Atlantoaxial Fixation surgery","volume":"188","author":"Goel","year":"2024","journal-title":"WORLD Neurosurg"},{"issue":"4","key":"10.1016\/j.jocn.2025.111310_b0105","doi-asserted-by":"crossref","first-page":"311","DOI":"10.4103\/jcvjs.jcvjs_163_23","article-title":"Rotatory and translatory \u201ccentral or axial\u201d atlantoaxial instability - Role of dynamic imaging","volume":"14","author":"Goel","year":"2023","journal-title":"J Craniovertebr Junction Spine"},{"issue":"3","key":"10.1016\/j.jocn.2025.111310_b0110","doi-asserted-by":"crossref","first-page":"1553","DOI":"10.1007\/s10143-020-01345-9","article-title":"Atlanto-axial rotary instability (Fielding type 1): characteristic clinical and radiological findings, and treatment outcomes following alignment, fusion, and stabilization","volume":"44","author":"Henderson","year":"2021","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.jocn.2025.111310_b0115","doi-asserted-by":"crossref","first-page":"e854","DOI":"10.1016\/j.wneu.2021.01.084","article-title":"Refractory Syncope and Presyncope Associated with Atlantoaxial Instability: Preliminary Evidence of Improvement Following Surgical Stabilization","volume":"149","author":"Henderson","year":"2021","journal-title":"WORLD Neurosurg"},{"issue":"2","key":"10.1016\/j.jocn.2025.111310_b0120","doi-asserted-by":"crossref","first-page":"159","DOI":"10.3171\/2024.2.SPINE231327","article-title":"C1-2 hypermobility and its impact on the spinal cord: a finite element analysis","volume":"41","author":"Patel","year":"2024","journal-title":"J Neurosurg Spine"},{"issue":"1","key":"10.1016\/j.jocn.2025.111310_b0125","doi-asserted-by":"crossref","first-page":"37","DOI":"10.2106\/00004623-197759010-00005","article-title":"Atlanto-axial rotatory fixation. (Fixed rotatory subluxation of the atlanto-axial joint)","volume":"59","author":"Fielding","year":"1977","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"10.1016\/j.jocn.2025.111310_b0130","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3171\/2009.3.SPINE08927","article-title":"Vertical mobile and reducible atlantoaxial dislocation","volume":"11","author":"Goel","year":"2009","journal-title":"Clinical article J Neurosurg Spine"},{"issue":"1\u20132","key":"10.1016\/j.jocn.2025.111310_b0135","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/BF01400872","article-title":"Plate and screw fixation for atlanto-axial subluxation","volume":"129","author":"Goel","year":"1994","journal-title":"Acta Neurochir (Wien)"},{"issue":"6","key":"10.1016\/j.jocn.2025.111310_b0140","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1097\/00006123-200212000-00004","article-title":"Atlantoaxial fixation using plate and screw method: a report of 160 treated patients","volume":"51","author":"Goel","year":"2002","journal-title":"Neurosurgery"},{"key":"10.1016\/j.jocn.2025.111310_b0145","doi-asserted-by":"crossref","first-page":"962","DOI":"10.3171\/jns.1998.88.6.0962","article-title":"Basilar invagination: a study based on 190 surgically treated cases","volume":"88","author":"Goel","year":"1998","journal-title":"J Neurosurg"},{"key":"10.1016\/j.jocn.2025.111310_b0150","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.wneu.2016.08.026","article-title":"Radiologic Evaluation of Basilar Invagination Without Obvious Atlantoaxial Instability (Group B Basilar Invagination): Analysis Based on a Study of 75 Patients","volume":"95","author":"Goel","year":"2016","journal-title":"WORLD Neurosurg"},{"issue":"10","key":"10.1016\/j.jocn.2025.111310_b0155","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1007\/s00381-019-04218-9","article-title":"Bony decompression vs duraplasty for Chiari I malformation: does the eternal dilemma matter?","volume":"35","author":"Massimi","year":"2019","journal-title":"Childs Nerv Syst"},{"key":"10.1016\/j.jocn.2025.111310_b0160","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/978-3-319-62515-7_17","article-title":"Bony Decompression for Chiari Malformation Type I: Long-Term Follow-Up","volume":"125","author":"Massimi","year":"2019","journal-title":"Acta Neurochir Suppl"},{"key":"10.1016\/j.jocn.2025.111310_b0165","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s005860050162","article-title":"Preliminary CT Study of C1-C2 Rotational Mobility in Normal Subjects","volume":"8","author":"Villas","year":"1999","journal-title":"Eur Spine J"},{"key":"10.1016\/j.jocn.2025.111310_b0170","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1097\/BRS.0b013e3181a4e4e9","article-title":"CT Scan Study of Atlantoaxial Rotatory Mobility in Asymptomatic Adult Subjects: A Basis for Better Understanding C1-C2 Rotatory Fixation and Subluxation","volume":"34","author":"M\u00f6nckeberg","year":"2009","journal-title":"Spine"},{"issue":"2","key":"10.1016\/j.jocn.2025.111310_b0175","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/00002517-199106000-00005","article-title":"Flexion, extension, and lateral bending of the upper cervical spine in response to alar ligament transections","volume":"4","author":"Panjabi","year":"1991","journal-title":"J Spinal Disord"},{"issue":"2","key":"10.1016\/j.jocn.2025.111310_b0180","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1136\/jnnp.64.2.278","article-title":"Repeated syncopes and extended paediatric hydrosyringomyelia\/Chiari I malformation: relation or coincidence?","volume":"64","author":"Woelfle","year":"1998","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"10","key":"10.1016\/j.jocn.2025.111310_b0185","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1212\/WNL.41.10.1673","article-title":"Recurrent syncope as the presenting symptom of Arnold-Chiari malformation","volume":"41","author":"Weig","year":"1991","journal-title":"Neurology"},{"issue":"10","key":"10.1016\/j.jocn.2025.111310_b0190","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1136\/jnnp.45.10.919","article-title":"Syncope as a presenting feature of hindbrain herniation with syringomyelia","volume":"45","author":"Hampton","year":"1982","journal-title":"J Neurol Neurosurg Psychiatry"}],"container-title":["Journal of Clinical Neuroscience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0967586825002826?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0967586825002826?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T11:29:28Z","timestamp":1750332568000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0967586825002826"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":38,"alternative-id":["S0967586825002826"],"URL":"https:\/\/doi.org\/10.1016\/j.jocn.2025.111310","relation":{},"ISSN":["0967-5868"],"issn-type":[{"value":"0967-5868","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Atlantoaxial instability in Chiari formation- an analysis based on static and dynamic head imaging in 35 patients","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Neuroscience","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jocn.2025.111310","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"111310"}}