{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T10:39:25Z","timestamp":1789123165623,"version":"build-2803163510"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"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","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2022,7]]},"DOI":"10.1016\/j.wneu.2022.03.108","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T02:00:49Z","timestamp":1648605649000},"page":"e253-e262","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"special_numbering":"C","title":["Headache and Other Symptoms in Chiari Malformation Type I Are Associated with Cerebrospinal Fluid Flow Improvement After Decompression: A Two-Institutional Study"],"prefix":"10.1016","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7238-5665","authenticated-orcid":false,"given":"Luke","family":"Mugge","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6379-8089","authenticated-orcid":false,"given":"Andrew","family":"Caras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Henkel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4497-8257","authenticated-orcid":false,"given":"Camila","family":"Dassi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Schroeder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0214-2339","authenticated-orcid":false,"given":"Daniel M.","family":"Prevedello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2022.03.108_bib1","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1097\/00006123-199905000-00042","article-title":"Chiari I malformation redefined: clinical and radiographic findings for 364 symptomatic patients","volume":"44","author":"Milhorat","year":"1999","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.03.108_bib2","doi-asserted-by":"crossref","first-page":"E2","DOI":"10.3171\/foc.2001.11.1.3","article-title":"Surgical treatment of Chiari I malformation: indications and approaches","volume":"11","author":"Alden","year":"2001","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2022.03.108_bib3","first-page":"183","article-title":"Arnold-Chiari malformation. Review of 71 cases","volume":"58","author":"Paul","year":"1983","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.03.108_bib4","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1016\/j.wneu.2018.06.073","article-title":"Time to resolution of symptoms after suboccipital decompression with duraplasty in children with Chiari malformation type I","volume":"117","author":"Hidalgo","year":"2018","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.03.108_bib5","doi-asserted-by":"crossref","first-page":"297","DOI":"10.4103\/jcvjs.JCVJS_138_17","article-title":"Chiari malformation: has the dilemma ended?","volume":"8","author":"Shah","year":"2017","journal-title":"J\u00a0Craniovertebr Junction Spine"},{"key":"10.1016\/j.wneu.2022.03.108_bib6","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1007\/s00381-007-0569-1","article-title":"Correlation of hindbrain CSF flow and outcome after surgical decompression for Chiari I malformation","volume":"24","author":"McGirt","year":"2008","journal-title":"Childs Nerv Syst"},{"key":"10.1016\/j.wneu.2022.03.108_bib7","doi-asserted-by":"crossref","first-page":"428","DOI":"10.4103\/1793-5482.175627","article-title":"Computed tomographic study of posterior cranial fossa, foramen magnum, and its surgical implications in Chiari malformations","volume":"12","author":"Iqbal","year":"2017","journal-title":"Asian J Neurosurg"},{"key":"10.1016\/j.wneu.2022.03.108_bib8","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1148\/radiology.196.1.7784567","article-title":"Cerebrospinal fluid flow waveforms: analysis in patients with Chiari I malformation by means of gated phase-contrast MR imaging velocity measurements","volume":"196","author":"Bhadelia","year":"1995","journal-title":"Radiology"},{"key":"10.1016\/j.wneu.2022.03.108_bib9","first-page":"3","article-title":"Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils. Implications for diagnosis and treatment","volume":"80","author":"Oldfield","year":"1994","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.03.108_bib10","doi-asserted-by":"crossref","first-page":"E5","DOI":"10.3171\/foc.2001.11.1.6","article-title":"Phase-contrast magnetic resonance imaging of cerebrospinal fluid flow in the evaluation of patients with Chiari I malformation","volume":"11","author":"Menick","year":"2001","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2022.03.108_bib11","first-page":"1299","article-title":"Chiari I malformations: assessment with phase-contrast velocity MR","volume":"15","author":"Wolpert","year":"1994","journal-title":"AJNR Am J Neuroradiol"},{"issue":"suppl 3","key":"10.1016\/j.wneu.2022.03.108_bib12","doi-asserted-by":"crossref","first-page":"S232","DOI":"10.4103\/2152-7806.98580","article-title":"Controversies in Chiari I malformations","volume":"3","author":"Baisden","year":"2012","journal-title":"Surg Neurol Int"},{"key":"10.1016\/j.wneu.2022.03.108_bib13","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1259\/bjr\/66206791","article-title":"Cerebrospinal fluid flow imaging by using phase-contrast MR technique","volume":"84","author":"Battal","year":"2011","journal-title":"Br J Radiol"},{"key":"10.1016\/j.wneu.2022.03.108_bib14","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.nec.2015.06.012","article-title":"Advanced imaging of Chiari 1 malformations","volume":"26","author":"Fakhri","year":"2015","journal-title":"Neurosurg Clin North Am"},{"key":"10.1016\/j.wneu.2022.03.108_bib15","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s00381-002-0701-1","article-title":"The role of cine flow MRI in children with Chiari I malformation","volume":"19","author":"Ventureyra","year":"2003","journal-title":"Childs Nerv Syst"},{"key":"10.1016\/j.wneu.2022.03.108_bib16","doi-asserted-by":"crossref","first-page":"456","DOI":"10.3171\/2013.1.SPINE12366","article-title":"Changes in CSF flow after one-stage posterior vertebral column resection in scoliosis patients with syringomyelia and Chiari malformation type I","volume":"18","author":"Wang","year":"2013","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.03.108_bib17","first-page":"47","article-title":"Current concepts in the pathogenesis, diagnosis, and management of type I Chiari malformations","volume":"100","author":"Doberstein","year":"2017","journal-title":"R\u00a0I Med J (2013)"},{"key":"10.1016\/j.wneu.2022.03.108_bib18","doi-asserted-by":"crossref","DOI":"10.1002\/cnm.2853","article-title":"Direct numerical simulation of transitional hydrodynamics of the cerebrospinal fluid in Chiari I malformation: the role of cranio-vertebral junction","volume":"33","author":"Jain","year":"2017","journal-title":"Int J Numer Method Biomed Eng"},{"key":"10.1016\/j.wneu.2022.03.108_bib19","doi-asserted-by":"crossref","first-page":"1860","DOI":"10.1007\/s00330-012-2457-7","article-title":"Magnetic resonance 4D flow analysis of cerebrospinal fluid dynamics in Chiari I malformation with and without syringomyelia","volume":"22","author":"Bunck","year":"2012","journal-title":"Eur Radiol"},{"key":"10.1016\/j.wneu.2022.03.108_bib20","doi-asserted-by":"crossref","first-page":"e0162938","DOI":"10.1371\/journal.pone.0162938","article-title":"Computational Investigation of cerebrospinal fluid dynamics in the posterior cranial fossa and cervical subarachnoid space in patients with Chiari I malformation","volume":"11","author":"Stoverud","year":"2016","journal-title":"PLoS One"},{"key":"10.1016\/j.wneu.2022.03.108_bib21","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1227\/NEU.0000000000000507","article-title":"Magnetic resonance imaging measures of posterior cranial fossa morphology and cerebrospinal fluid physiology in Chiari malformation type I","volume":"75","author":"Alperin","year":"2014","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.03.108_bib22","first-page":"1135","article-title":"Changes in temporal flow characteristics of CSF in Chiari malformation Type I with and without syringomyelia: implications for theory of syrinx development","volume":"118","author":"Clarke","year":"2013","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.03.108_bib23","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1002\/jmri.25160","article-title":"Cerebrospinal fluid velocity amplitudes within the cerebral aqueduct in healthy children and patients with Chiari I malformation","volume":"44","author":"Bapuraj","year":"2016","journal-title":"J\u00a0Magn Reson Imaging"},{"key":"10.1016\/j.wneu.2022.03.108_bib24","first-page":"142","article-title":"Effect of craniocervical decompression on peak CSF velocities in symptomatic patients with Chiari I malformation","volume":"25","author":"Dolar","year":"2004","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2022.03.108_bib25","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1590\/0004-282X20140220","article-title":"Surgical treatment of type I Chiari malformation: the role of Magendie\u2019s foramen opening e tonsils manipulation","volume":"73","author":"Vidal","year":"2015","journal-title":"Arq Neuropsiquiatr"},{"key":"10.1016\/j.wneu.2022.03.108_bib26","first-page":"254","article-title":"Posterior fossa decompression with duraplasty in Chiari-1 malformations","volume":"25","author":"Rehman","year":"2015","journal-title":"J\u00a0Coll Physicians Surg Pak"},{"key":"10.1016\/j.wneu.2022.03.108_bib27","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.clineuro.2014.07.019","article-title":"The case for duraplasty in adults undergoing posterior fossa decompression for Chiari I malformation: a systematic review and meta-analysis of observational studies","volume":"125","author":"Forander","year":"2014","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2022.03.108_bib28","doi-asserted-by":"crossref","first-page":"161","DOI":"10.3171\/2014.10.PEDS14295","article-title":"Pediatric and adult Chiari malformation type I surgical series 1965-2013: a review of demographics, operative treatment, and outcomes","volume":"15","author":"Arnautovic","year":"2015","journal-title":"J\u00a0Neurosurg Pediatr"},{"key":"10.1016\/j.wneu.2022.03.108_bib29","doi-asserted-by":"crossref","first-page":"28","DOI":"10.3171\/2016.5.SPINE1621","article-title":"Magnetic resonance imaging-based measures predictive of short-term surgical outcome in patients with Chiari malformation type I: a pilot study","volume":"26","author":"Alperin","year":"2017","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.03.108_bib30","doi-asserted-by":"crossref","first-page":"825","DOI":"10.3174\/ajnr.A4629","article-title":"Cough-associated changes in CSF flow in Chiari I malformation evaluated by real-time MRI","volume":"37","author":"Bhadelia","year":"2016","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2022.03.108_bib31","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.3174\/ajnr.A2268","article-title":"Peak CSF velocities in patients with symptomatic and asymptomatic Chiari I malformation","volume":"31","author":"Krueger","year":"2010","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2022.03.108_bib32","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1007\/s10143-017-0824-1","article-title":"Surgical management of Chiari I malformation based on different cerebrospinal fluid flow patterns at the cranial-vertebral junction","volume":"40","author":"Fan","year":"2017","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.wneu.2022.03.108_bib33","doi-asserted-by":"crossref","first-page":"622","DOI":"10.3171\/2014.10.SPINE1433","article-title":"Multimodal evaluation of CSF dynamics following extradural decompression for Chiari malformation type I","volume":"22","author":"Quon","year":"2015","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.03.108_bib34","doi-asserted-by":"crossref","first-page":"21012","DOI":"10.1115\/1.4026316","article-title":"Cerebrospinal fluid flow impedance is elevated in type I Chiari malformation","volume":"136","author":"Shaffer","year":"2014","journal-title":"J\u00a0Biomech Eng"},{"key":"10.1016\/j.wneu.2022.03.108_bib35","doi-asserted-by":"crossref","first-page":"e75335","DOI":"10.1371\/journal.pone.0075335","article-title":"Hydrodynamic and longitudinal impedance analysis of cerebrospinal fluid dynamics at the craniovertebral junction in type I Chiari malformation","volume":"8","author":"Martin","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.wneu.2022.03.108_bib36","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1007\/s00701-013-1958-8","article-title":"Analysis of cerebrospinal fluid flow dynamics and morphology in Chiari I malformation with cine phase-contrast magnetic resonance imaging","volume":"156","author":"Wang","year":"2014","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.wneu.2022.03.108_bib37","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.wneu.2018.01.001","article-title":"Novel assessment of cerebrospinal fluid dynamics by time-spatial labeling inversion pulse magnetic resonance imaging in patients with Chiari malformation type I","volume":"112","author":"Ohtonari","year":"2018","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.03.108_bib38","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/j.wneu.2017.02.003","article-title":"Intraoperative ultrasonography for definition of less invasive surgical technique in patients with Chiari type I malformation","volume":"101","author":"Brock","year":"2017","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.03.108_bib39","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.clineuro.2010.10.011","article-title":"Monitoring of cerebrospinal fluid flow by intraoperative ultrasound in patients with Chiari I malformation","volume":"113","author":"Cui","year":"2011","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2022.03.108_bib40","doi-asserted-by":"crossref","first-page":"23","DOI":"10.3171\/2017.5.SPINE17264","article-title":"A\u00a0points-based algorithm for prognosticating clinical outcome of Chiari malformation type I with syringomyelia: results from a predictive model analysis of 82 surgically managed adult patients","volume":"28","author":"Thakar","year":"2018","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.03.108_bib41","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1055\/s-0037-1599841","article-title":"Symptomatic outcome after bone-only suboccipital decompression in adult patients with Chiari type I malformations in the absence of hydromyelia or hydrocephalus","volume":"78","author":"Koechlin","year":"2017","journal-title":"J\u00a0Neurol Surg A Cent Eur Neurosurg"},{"issue":"3 suppl 1","key":"10.1016\/j.wneu.2022.03.108_bib42","first-page":"151","article-title":"Cerebrospinal fluid-related complications with autologous duraplasty and arachnoid sparing in type I Chiari malformation","volume":"62","author":"Hoffman","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.03.108_bib43","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.wneu.2017.07.162","article-title":"Surgical decompression for Chiari malformation type I: an age-based outcomes study based on the Chicago Chiari Outcome Scale","volume":"107","author":"Gilmer","year":"2017","journal-title":"World Neurosurg"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022004028?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022004028?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T09:09:19Z","timestamp":1761815359000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875022004028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":43,"alternative-id":["S1878875022004028"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2022.03.108","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Headache and Other Symptoms in Chiari Malformation Type I Are Associated with Cerebrospinal Fluid Flow Improvement After Decompression: A Two-Institutional Study","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2022.03.108","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}