{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:38:15Z","timestamp":1792809495013,"version":"4.5.0"},"reference-count":38,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Chiari malformation type I (CM-I) involves the herniation of the cerebellar tonsils through the foramen magnum. CM-I is associated with both obstructive sleep apnea (OSA) and central sleep apnea (CSA) in children. The primary management of symptomatic CM-I remains surgical decompression. There is, however, a paucity of data evaluating the efficacy of decompression surgery on outcomes related to sleep-disordered breathing (SDB). The objective of this study was to evaluate SDB outcomes, specifically the need for respiratory support following decompression in pediatric patients with CM-I.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This was a retrospective chart review of all children diagnosed with CM-I when younger than 18 years of age who had polysomnography (PSG) studies pre- and postsurgery, between January 2008 and October 2018 at the Hospital for Sick Children in Toronto. Patient demographics, symptoms, PSG data, ongoing respiratory support, and surgical notes were recorded. Differences in PSG studies obtained pre- and postsurgery were compared using the Wilcoxon test for paired samples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 15 children with 15 interventions met inclusion criteria with pre- and postsurgery PSG studies and were considered for statistical analysis. Of the 15 subjects included for analysis, preoperative OSA was present in 2 (13.3%), CSA in 5 (33.3%), mixed SDB (both OSA and CSA) in 4 (26.7%), and no significant SDB in 4 (26.7%). Postoperatively, OSA was present in 3 (20.0%), CSA in 4 (26.7%), mixed SDB in 0 (0%), and no significant SDB in 8 (53.3%). The presence of severe OSA decreased from 4\/15 (26.7%) to 2\/15 (13.3%) postoperatively, and severe CSA decreased from 5\/15 (33.3%) to 2\/15 (13.3%) postoperatively. Following decompression surgery, 7\/15 subjects (46.7%) required positive airway pressure for management of their SDB. Overall, significant improvements were observed in a number of respiratory parameters following decompression including the following: the total apnea-hypopnea index (AHI) (17.5 \u00b1 48.2 vs 6.1 \u00b1 32.7 events\/hour; p = 0.001), obstructive AHI (2.1 \u00b1 16.1 vs 1.0 \u00b1 6.6 events\/hour; p = 0.005), central AHI (6.3 \u00b1 48.9 vs 2.7 \u00b1 33.0 events\/hour; p = 0.005), and the desaturation index (16.7 \u00b1 49.6 vs 3.8 \u00b1 25.3; p = 0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Although decompression surgery led to a significant reduction in obstructive and central events, many children continued to have persistent SDB and required additional positive airway pressure therapy. This information is important and relevant for anticipatory guidance around decompression surgery and the necessity for respiratory support for the management of SDB in pediatric patients with CM-I.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2020.11.peds20574","type":"journal-article","created":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T03:20:23Z","timestamp":1619148023000},"page":"611-619","source":"Crossref","is-referenced-by-count":10,"title":["The efficacy of neurosurgical intervention on sleep-disordered breathing in pediatric patients with Chiari malformation type I"],"prefix":"10.3171","volume":"27","author":[{"given":"Giorge","family":"Voutsas","sequence":"first","affiliation":[{"name":"Translational Medicine, Research Institute, Hospital for Sick Children, Toronto, Ontario;"},{"name":"University of Toronto, Ontario;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"St-Laurent","sequence":"additional","affiliation":[{"name":"University of Western Ontario, London, Ontario;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"Translational Medicine, Research Institute, Hospital for Sick Children, Toronto, Ontario;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reshma","family":"Amin","sequence":"additional","affiliation":[{"name":"University of Toronto, Ontario;"},{"name":"Division of Respiratory Medicine, Hospital for Sick Children, Toronto, Ontario; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Drake","sequence":"additional","affiliation":[{"name":"University of Toronto, Ontario;"},{"name":"Division of Neurosurgery, Hospital for Sick Children, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indra","family":"Narang","sequence":"additional","affiliation":[{"name":"Translational Medicine, Research Institute, Hospital for Sick Children, Toronto, Ontario;"},{"name":"University of Toronto, Ontario;"},{"name":"Division of Respiratory Medicine, Hospital for Sick Children, Toronto, Ontario; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"40","DOI":"10.3171\/jns.1997.86.1.0040","article-title":"Pathogenesis of Chiari malformation: a morphometric study of the posterior cranial fossa","volume":"86","author":"Nishikawa M","year":"1997","unstructured":"Nishikawa M, Sakamoto H, Hakuba A, et al. Pathogenesis of Chiari malformation: a morphometric study of the posterior cranial fossa. J Neurosurg. 1997;86(1):40\u201347.898808010.3171\/jns.1997.86.1.0040"},{"issue":"2","key":"b2","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"205","DOI":"10.3171\/2011.5.PEDS1121","article-title":"Chiari malformation Type I and syrinx in children undergoing magnetic resonance imaging","volume":"8","author":"Strahle J","year":"2011","unstructured":"Strahle J, Muraszko KM, Kapurch J, et al. Chiari malformation Type I and syrinx in children undergoing magnetic resonance imaging. J Neurosurg Pediatr. 2011;8(2):205\u2013213.10.3171\/2011.5.PEDS112121806364"},{"issue":"5","key":"b3","series-title":"Chest","doi-asserted-by":"publisher","first-page":"1346","DOI":"10.1378\/chest.14-3090","article-title":"Sleep-related breathing disorders and the Chiari 1 malformation","volume":"148","author":"Leu RM","year":"2015","unstructured":"Leu RM. Sleep-related breathing disorders and the Chiari 1 malformation. Chest. 2015;148(5):1346\u20131352.2615875910.1378\/chest.14-3090"},{"issue":"6","key":"b4","series-title":"Pediatrics","doi-asserted-by":"publisher","first-page":"1212","DOI":"10.1542\/peds.110.6.1212","article-title":"Chiari I malformation in the very young child: the spectrum of presentations and experience in 31 children under age 6 years","volume":"110","author":"Greenlee JD","year":"2002","unstructured":"Greenlee JD, Donovan KA, Hasan DM, Menezes AH. Chiari I malformation in the very young child: the spectrum of presentations and experience in 31 children under age 6 years. Pediatrics. 2002;110(6):1212\u20131219.1245692110.1542\/peds.110.6.1212"},{"issue":"2","key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"291","DOI":"10.3171\/jns.2003.99.2.0291","article-title":"Surgical experience in 130 pediatric patients with Chiari I malformations","volume":"99","author":"Tubbs RS","year":"2003","unstructured":"Tubbs RS, McGirt MJ, Oakes WJ. Surgical experience in 130 pediatric patients with Chiari I malformations. J Neurosurg. 2003;99(2):291\u2013296.10.3171\/jns.2003.99.2.0291"},{"issue":"6","key":"b6","series-title":"Pediatr Neurol","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1016\/j.pediatrneurol.2009.01.003","article-title":"Chiari type I malformation in a pediatric population","volume":"40","author":"Aitken LA","year":"2009","unstructured":"Aitken LA, Lindan CE, Sidney S, et al. Chiari type I malformation in a pediatric population. Pediatr Neurol. 2009;40(6):449\u2013454.10.1016\/j.pediatrneurol.2009.01.003"},{"issue":"12","key":"b7","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"1344","DOI":"10.1136\/jnnp.2006.108779","article-title":"Chiari malformation and sleep related breathing disorders","volume":"78","author":"Dauvilliers Y","year":"2007","unstructured":"Dauvilliers Y, Stal V, Abril B, et al. Chiari malformation and sleep related breathing disorders. J Neurol Neurosurg Psychiatry. 2007;78(12):1344\u20131348.10.1136\/jnnp.2006.10877917400590"},{"issue":"1","key":"b8","series-title":"Can Respir J","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1155\/2015\/831569","article-title":"The association between sleep-disordered breathing and magnetic resonance imaging findings in a pediatric cohort with Chiari 1 malformation","volume":"22","author":"Amin R","year":"2015","unstructured":"Amin R, Sayal P, Sayal A, et al. The association between sleep-disordered breathing and magnetic resonance imaging findings in a pediatric cohort with Chiari 1 malformation. Can Respir J. 2015;22(1):31\u201336.10.1155\/2015\/831569"},{"issue":"1","key":"b9","series-title":"Am J Respir Crit Care Med","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1164\/ajrccm.164.1.2008171","article-title":"Sleep-disordered breathing in children","volume":"164","author":"Marcus CL","year":"2001","unstructured":"Marcus CL. Sleep-disordered breathing in children. Am J Respir Crit Care Med. 2001;164(1):16\u201330.10.1164\/ajrccm.164.1.200817111435234"},{"key":"b10","series-title":"Paediatr Respir Rev","first-page":"49","article-title":"Narang I. Diagnosis, management and pathophysiology of central sleep apnea in children","volume":"30","author":"McLaren AT","year":"2019","unstructured":"McLaren AT, Bin-Hasan S. Narang I. Diagnosis, management and pathophysiology of central sleep apnea in children. Paediatr Respir Rev. 2019;30:49\u201357.30170958"},{"issue":"4","key":"b11","series-title":"Pediatrics","first-page":"704","article-title":"Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome","volume":"109","year":"2002","unstructured":"Section on Pediatric Pulmonology. Subcommittee on Obstructive Sleep Apnea Syndrome, American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2002;109(4):704\u2013712.11927718"},{"issue":"2","key":"b12","series-title":"J Neurol Sci","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1016\/0022-510X(94)90280-1","article-title":"Multifactorial obstructive sleep apnea in a patient with Chiari malformation","volume":"126","author":"Ely EW","year":"1994","unstructured":"Ely EW, McCall WV, Haponik EF. Multifactorial obstructive sleep apnea in a patient with Chiari malformation. J Neurol Sci. 1994;126(2):232\u2013236.10.1016\/0022-510X(94)90280-1"},{"issue":"1","key":"b13","series-title":"Eur Neurol","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1159\/000117197","article-title":"Respiratory arrest: a complication of Arnold-Chiari malformation in adults","volume":"36","author":"Omer S","year":"1996","unstructured":"Omer S, al-Kawi MZ, Bohlega S, et al. Respiratory arrest: a complication of Arnold-Chiari malformation in adults. Eur Neurol. 1996;36(1):36\u201338.10.1159\/0001171978719648"},{"issue":"1","key":"b14","series-title":"Folia Med (Plovdiv)","first-page":"55","article-title":"Chiari type II malformation: a case report and review of literature","volume":"48","author":"Yumer MH","year":"2006","unstructured":"Yumer MH, Nachev SS, Dzhendov TY, Kalev OK. Chiari type II malformation: a case report and review of literature. Folia Med (Plovdiv). 2006;48(1):55\u201359.16918056"},{"issue":"5","key":"b15","series-title":"Sleep","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1093\/sleep\/23.5.1f","article-title":"Chiari malformation and sleep-disordered breathing: a review of diagnostic and management issues","volume":"23","author":"Zolty P","year":"2000","unstructured":"Zolty P, Sanders MH, Pollack IF. Chiari malformation and sleep-disordered breathing: a review of diagnostic and management issues. Sleep. 2000;23(5):637\u2013643.10.1093\/sleep\/23.5.1f10947031"},{"issue":"3","key":"b16","series-title":"Pediatr Pulmonol","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1002\/ppul.23658","article-title":"When and why to treat the child who snores?","volume":"52","author":"Tan HL","year":"2017","unstructured":"Tan HL, Alonso Alvarez ML, Tsaoussoglou M, et al. When and why to treat the child who snores?. Pediatr Pulmonol. 2017;52(3):399\u2013412.10.1002\/ppul.2365828029756"},{"issue":"2","key":"b17","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"183","DOI":"10.3171\/jns.1983.58.2.0183","article-title":"Review of 71 cases","volume":"58","author":"Paul KS","year":"1983","unstructured":"Paul KS, Lye RH, Strang FA, Dutton J. Arnold-Chiari malformation. Review of 71 cases. J Neurosurg. 1983;58(2):183\u2013187.10.3171\/jns.1983.58.2.01836848674"},{"issue":"5","key":"b18","series-title":"J Intensive Care Med","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1177\/0885066613485213","article-title":"Chiari syndrome and respiratory failure: a literature review","volume":"29","author":"Kijsirichareanchai K","year":"2014","unstructured":"Kijsirichareanchai K, Limsuwat C, Mankongpaisarnrung C, et al. Chiari syndrome and respiratory failure: a literature review. J Intensive Care Med. 2014;29(5):260\u2013268.2375323910.1177\/0885066613485213"},{"issue":"4","key":"b19","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"800","DOI":"10.3171\/2009.7.JNS09174","article-title":"The effects of posterior fossa decompressive surgery in adult patients with Chiari malformation and sleep apnea","volume":"112","author":"Botelho RV","year":"2010","unstructured":"Botelho RV, Bittencourt LRA, Rotta JM, Tufik S. The effects of posterior fossa decompressive surgery in adult patients with Chiari malformation and sleep apnea. J Neurosurg. 2010;112(4):800\u2013807.1966355510.3171\/2009.7.JNS09174"},{"issue":"4","key":"b20","series-title":"Pediatr Neurol","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1016\/j.pediatrneurol.2012.12.009","article-title":"MRI findings and sleep apnea in children with Chiari I malformation","volume":"48","author":"Khatwa U","year":"2013","unstructured":"Khatwa U, Ramgopal S, Mylavarapu A, et al. MRI findings and sleep apnea in children with Chiari I malformation. Pediatr Neurol. 2013;48(4):299\u2013307.2349856410.1016\/j.pediatrneurol.2012.12.009"},{"issue":"3","key":"b21","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"343","DOI":"10.3171\/2015.7.PEDS1594","article-title":"Natural and surgical history of Chiari malformation Type I in the pediatric population","volume":"17","author":"Pomeraniec IJ","year":"2016","unstructured":"Pomeraniec IJ, Ksendzovsky A, Awad AJ, et al. Natural and surgical history of Chiari malformation Type I in the pediatric population. J Neurosurg Pediatr. 2016;17(3):343\u2013352.2658845910.3171\/2015.7.PEDS1594"},{"issue":"1)(suppl","key":"b22","series-title":"Food Nutr Bull","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.1177\/15648265040251S105","article-title":"Measurement and standardization protocols for anthropometry used in the construction of a new international growth reference","volume":"25","author":"de Onis M","year":"2004","unstructured":"de Onis M, Onyango AW, Van den Broeck J, et al. Measurement and standardization protocols for anthropometry used in the construction of a new international growth reference. Food Nutr Bull. 2004;25(1)(suppl):S27\u2013S36.10.1177\/15648265040251S105"},{"key":"b23","first-page":"176","article-title":"The AASM Manual for the Scoring of Sleep and Associated Events. Rules, Terminology and Technical Specifications","author":"Berry RB","year":"2012","unstructured":"Berry RB, Brooks R, Gamaldo CE, et al. The AASM Manual for the Scoring of Sleep and Associated Events. Rules, Terminology and Technical Specifications. American Academy of Sleep Medicine;2012:176."},{"issue":"4","key":"b24","series-title":"Am J Respir Crit Care Med","first-page":"1381","article-title":"American Thoracic Society. Cardiorespiratory sleep studies in children. Establishment of normative data and polysomnographic predictors of morbidity","volume":"160","year":"1999","unstructured":"American Thoracic Society. Cardiorespiratory sleep studies in children. Establishment of normative data and polysomnographic predictors of morbidity. Am J Respir Crit Care Med. 1999;160(4):1381\u20131387.10508833"},{"issue":"10","key":"b25","series-title":"JAMA Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"1002","DOI":"10.1001\/jamaoto.2013.4686","article-title":"Predictors of persistent sleep apnea after surgery in children younger than 3 years","volume":"139","author":"Nath A","year":"2013","unstructured":"Nath A, Emani J, Suskind DL, Baroody FM. Predictors of persistent sleep apnea after surgery in children younger than 3 years. JAMA Otolaryngol Head Neck Surg. 2013;139(10):1002\u20131008.10.1001\/jamaoto.2013.468624030757"},{"issue":"10","key":"b26","series-title":"Pediatr Pulmonol","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1002\/ppul.21469","article-title":"Narang I. Descriptive analysis of central sleep apnea in childhood at a single center","volume":"46","author":"Kritzinger FE","year":"2011","unstructured":"Kritzinger FE, Al-Saleh S. Narang I. Descriptive analysis of central sleep apnea in childhood at a single center. Pediatr Pulmonol. 2011;46(10):1023\u20131030.10.1002\/ppul.21469"},{"issue":"5","key":"b27","series-title":"Pediatr Int","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1111\/j.1442-200X.2012.03660.x","article-title":"Sleep-disordered breathing in children with Chiari malformation type II and myelomeningocele","volume":"54","author":"Alsaadi MM","year":"2012","unstructured":"Alsaadi MM, Iqbal SM, Elgamal EA, Gozal D. Sleep-disordered breathing in children with Chiari malformation type II and myelomeningocele. Pediatr Int. 2012;54(5):623\u2013626.10.1111\/j.1442-200X.2012.03660.x22564146"},{"issue":"2","key":"b28","series-title":"Sleep Med","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/S1389-9457(99)00004-0","article-title":"Arnold-Chiari malformation presenting as sleep apnea syndrome","volume":"1","author":"Lam B","year":"2000","unstructured":"Lam B, Ryan CF. Arnold-Chiari malformation presenting as sleep apnea syndrome. Sleep Med. 2000;1(2):139\u2013144.1076765610.1016\/S1389-9457(99)00004-0"},{"issue":"4","key":"b29","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"336","DOI":"10.3171\/2010.7.PEDS10207","article-title":"Improvement of obstructive sleep apneas caused by hydrocephalus associated with Chiari malformation Type II following surgery","volume":"6","author":"Luigetti M","year":"2010","unstructured":"Luigetti M, Losurdo A, Dittoni S, et al. Improvement of obstructive sleep apneas caused by hydrocephalus associated with Chiari malformation Type II following surgery. J Neurosurg Pediatr. 2010;6(4):336\u2013339.2088710510.3171\/2010.7.PEDS10207"},{"issue":"2","key":"b30","series-title":"Chest","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1378\/chest.95.2.279","article-title":"Intracranial pressure and obstructive sleep apnea","volume":"95","author":"Jennum P","year":"1989","unstructured":"Jennum P, B\u00f8rgesen SE. Intracranial pressure and obstructive sleep apnea. Chest. 1989;95(2):279\u2013283.10.1378\/chest.95.2.2792914475"},{"issue":"2","key":"b31","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"159","DOI":"10.3171\/jns.1989.71.2.0159","article-title":"Symptomatic Chiari malformations. An analysis of presentation, management, and long-term outcome","volume":"71","author":"Dyste GN","year":"1989","unstructured":"Dyste GN, Menezes AH, VanGilder JC. Symptomatic Chiari malformations. An analysis of presentation, management, and long-term outcome. J Neurosurg. 1989;71(2):159\u2013168.274634110.3171\/jns.1989.71.2.0159"},{"key":"b32","series-title":"Sleep Med","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.sleep.2016.07.016","article-title":"Central sleep apnea in children: experience at a single center","volume":"25","author":"Felix O","year":"2016","unstructured":"Felix O, Amaddeo A, Olmo Arroyo J, et al. Central sleep apnea in children: experience at a single center. Sleep Med. 2016;25:24\u201328.10.1016\/j.sleep.2016.07.016"},{"issue":"2","key":"b33","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1227\/01.NEU.0000336768.95044.80","article-title":"Long-term follow-up of Chiari-related syringomyelia in adults: analysis of 157 surgically treated cases","volume":"64","author":"Aghakhani N","year":"2009","unstructured":"Aghakhani N, Parker F, David P, et al. Long-term follow-up of Chiari-related syringomyelia in adults: analysis of 157 surgically treated cases. Neurosurgery. 2009;64(2):308\u2013315.10.1227\/01.NEU.0000336768.95044.8019190458"},{"key":"b34","series-title":"Clin Neurol Neurosurg","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1016\/j.clineuro.2014.07.027","article-title":"Surgical outcomes after posterior fossa decompression with and without duraplasty in Chiari malformation-I","volume":"125","author":"Chotai S","year":"2014","unstructured":"Chotai S, Medhkour A. Surgical outcomes after posterior fossa decompression with and without duraplasty in Chiari malformation-I. Clin Neurol Neurosurg. 2014;125:182\u2013188.10.1016\/j.clineuro.2014.07.02725171392"},{"issue":"4","key":"b35","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s10143-012-0387-0","article-title":"Long-term outcome of surgical management of adult Chiari I malformation","volume":"35","author":"El-Ghandour NM","year":"2012","unstructured":"El-Ghandour NM. Long-term outcome of surgical management of adult Chiari I malformation. Neurosurg Rev. 2012;35(4):537\u2013547.10.1007\/s10143-012-0387-022527628"},{"issue":"1","key":"b36","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1212\/01.wnl.0000191394.53786.62","article-title":"Sleep-disordered breathing in patients with Chiari malformation: improvement after surgery","volume":"66","author":"Gagnadoux F","year":"2006","unstructured":"Gagnadoux F, Meslier N, Svab I, et al. Sleep-disordered breathing in patients with Chiari malformation: improvement after surgery. Neurology. 2006;66(1):136\u2013138.1640186610.1212\/01.wnl.0000191394.53786.62"},{"issue":"1-2","key":"b37","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1007\/s101430100178","article-title":"Chiari type I presenting as left glossopharyngeal neuralgia with cardiac syncope","volume":"25","author":"Aguiar PH","year":"2002","unstructured":"Aguiar PH, Tella OI Jr, Pereira CU, et al. Chiari type I presenting as left glossopharyngeal neuralgia with cardiac syncope. Neurosurg Rev. 2002;25(1-2):99\u2013102.1195477310.1007\/s101430100178"},{"issue":"2","key":"b38","series-title":"J Neurol","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1007\/s004150050185","article-title":"Isolated unilateral hypoglossal nerve palsy: nine cases","volume":"245","author":"Combarros O","year":"1998","unstructured":"Combarros O, Alvarez de Arcaya A, Berciano J. Isolated unilateral hypoglossal nerve palsy: nine cases. J Neurol. 1998;245(2):98\u2013100.10.1007\/s0041500501859507415"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/27\/6\/article-p611.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/27\/6\/article-p611.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/27\/6\/article-p611.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:54:15Z","timestamp":1792806855000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/27\/6\/article-p611.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":38,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2020.11.peds20574","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}