{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:26:48Z","timestamp":1769729208288,"version":"3.49.0"},"reference-count":48,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"24","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,12,9]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Chiari malformation type I (CM-I) is a common pediatric neurosurgical condition that is often associated with syringomyelia (SM) and spine deformity. The association of these three conditions is well recognized, but the pathophysiology linking them has yet to be fully elucidated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>This case report describes the unusual course of a 13-year-old male with CM-I, a large holocord syrinx, and progressive scoliosis who developed an angiography-negative subarachnoid hemorrhage (SAH) 4 months after successful posterior fossa decompression with duraplasty (PFDD). Notably, his cervical spinal canal diameter was increased relative to normative data. After presenting with SAH, he was treated with a course of lumbar cerebrospinal fluid drainage, which relieved his symptoms, and he had no further incidents. His syrinx responded to PFDD with a dramatic decrease in spinal cord diameter, in contradistinction to his dilated bony spinal canal. He is presently 4 years out from his SAH and doing well clinically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This report describes the first case of nonaneurysmal SAH following PFDD for CM-I and SM and explores a possible link between SM and bony spinal canal diameter.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24272\">https:\/\/thejns.org\/doi\/10.3171\/CASE24272<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24272","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T01:50:42Z","timestamp":1733709042000},"source":"Crossref","is-referenced-by-count":0,"title":["Spinal cord\u2013spinal canal disproportion following treatment for syringomyelia associated with Chiari malformation type I: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Arjun","family":"Nair","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek P.","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devin","family":"Kolmetzky","sequence":"additional","affiliation":[{"name":"Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer M.","family":"Strahle","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David D.","family":"Limbrick","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Virginia Commonwealth University, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"Neurosurg Clin N Am","first-page":"501","article-title":"Prevalence of Chiari I malformation and syringomyelia","volume":"26","author":"Kahn","year":"2015","unstructured":"Kahn ENMuraszko KMMaher CO. Prevalence of Chiari I malformation and syringomyelia. Neurosurg Clin N Am. 2015;26(4):501-507."},{"issue":"3","key":"bib2","series-title":"J Neurosurg Pediatr","first-page":"217","article-title":"The Chiari I malformation.","volume":"24","author":"McClugage","year":"2019","unstructured":"McClugage SGOakes WJ. The Chiari I malformation. J Neurosurg Pediatr. 2019;24(3):217-226."},{"issue":"2","key":"bib3","series-title":"J Neurosurg Pediatr","first-page":"205","article-title":"Chiari malformation type I and syrinx in children undergoing magnetic resonance imaging","volume":"8","author":"Strahle","year":"2011","unstructured":"Strahle JMuraszko KMKapurch JBapuraj JRGarton HJLMaher CO. Chiari malformation type I and syrinx in children undergoing magnetic resonance imaging. J Neurosurg Pediatr. 2011;8(2):205-213."},{"key":"bib4","series-title":"Pediatr Neurol","first-page":"32","article-title":"Prevalence and impact of underlying diagnosis and comorbidities on Chiari 1 malformation","volume":"106","author":"Sadler","year":"2020","unstructured":"Sadler BKuensting TStrahle J, et al. Prevalence and impact of underlying diagnosis and comorbidities on Chiari 1 malformation. Pediatr Neurol. 2020;106:32-37."},{"issue":"1","key":"bib5","series-title":"Neurosurg Clin N Am","first-page":"159","article-title":"Role of Chiari decompression in managing spinal deformity associated with Chiari I malformation and syringomyelia","volume":"34","author":"Chotai","year":"2023","unstructured":"Chotai SAum DJStrahle JM. Role of Chiari decompression in managing spinal deformity associated with Chiari I malformation and syringomyelia. Neurosurg Clin N Am. 2023;34(1):159-166."},{"issue":"6","key":"bib6","series-title":"J Neurosurg Pediatr","first-page":"607","article-title":"The association between Chiari malformation type I, spinal syrinx, and scoliosis","volume":"15","author":"Strahle","year":"2015","unstructured":"Strahle JSmith BWMartinez M, et al. The association between Chiari malformation type I, spinal syrinx, and scoliosis. J Neurosurg Pediatr. 2015;15(6):607-611."},{"issue":"5","key":"bib7","series-title":"J Neurosurg Pediatr","first-page":"520","article-title":"Radiological and clinical predictors of scoliosis in patients with Chiari malformation type I and spinal cord syrinx from the Park-Reeves","volume":"24","author":"Strahle","year":"2019","unstructured":"Strahle JMTaiwo RAverill C, et al. Radiological and clinical predictors of scoliosis in patients with Chiari malformation type I and spinal cord syrinx from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr. 2019;24(5):520-527."},{"issue":"4","key":"bib24","series-title":"J Neurosurg Pediatr","first-page":"368","article-title":"Relationship of syrinx size and tonsillar descent to spinal deformity in Chiari malformation Type I with associated syringomyelia","volume":"13","author":"Godzik","year":"2014","unstructured":"Godzik JKelly MPRadmanesh ARelationship of syrinx size and tonsillar descent to spinal deformity in Chiari malformation Type I with associated syringomyelia. J Neurosurg Pediatr. 2014;13(4):368-374."},{"issue":"5","key":"bib8","series-title":"J Neurosurg Pediatr","first-page":"585","article-title":"Longitudinal scoliosis behavior in Chiari malformation with and without syringomyelia","volume":"28","author":"Chotai","year":"2021","unstructured":"Chotai SNadel JLHolste KG, et al. Longitudinal scoliosis behavior in Chiari malformation with and without syringomyelia. J Neurosurg Pediatr. 2021;28(5):585-591."},{"issue":"1","key":"bib9","series-title":"J Neurosurg Pediatr","first-page":"53","article-title":"Radiological and clinical associations with scoliosis outcomes after posterior fossa decompression in patients with Chiari malformation and syrinx from the Park-Reeves Syringomyelia Research Consortium","volume":"26","author":"Strahle","year":"2020","unstructured":"Strahle JMTaiwo RAverill C, et al. Radiological and clinical associations with scoliosis outcomes after posterior fossa decompression in patients with Chiari malformation and syrinx from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr. 2020;26(1):53-59."},{"issue":"22","key":"bib10","series-title":"Spine","first-page":"2505","article-title":"Scoliosis associated with Chiari 1 malformations: the effect of suboccipital decompression on scoliosis curve progression: a preliminary study","volume":"28","author":"Brockmeyer","year":"2003","unstructured":"Brockmeyer DGollogly SSmith JT. Scoliosis associated with Chiari 1 malformations: the effect of suboccipital decompression on scoliosis curve progression: a preliminary study. Spine. 2003;28(22):2505-2509."},{"issue":"6","key":"bib11","series-title":"J Neurosurg Pediatr","first-page":"456","article-title":"Suboccipital decompression for Chiari malformation-associated scoliosis: risk factors and time course of deformity progression","volume":"1","author":"Attenello","year":"2008","unstructured":"Attenello FJMcGirt MJAtiba A, et al. Suboccipital decompression for Chiari malformation-associated scoliosis: risk factors and time course of deformity progression. J Neurosurg Pediatr. 2008;1(6):456-460."},{"issue":"2","key":"bib12","series-title":"Neuroimaging Clin N Am","first-page":"243","article-title":"Headache in Chiari malformation","volume":"29","author":"Bezuidenhout","year":"2019","unstructured":"Bezuidenhout AFChang YMHeilman CBBhadelia RA. Headache in Chiari malformation. Neuroimaging Clin N Am. 2019;29(2):243-253."},{"issue":"3","key":"bib13","series-title":"J Neurosurg Pediatr","first-page":"377","article-title":"Morphometric analysis of the developing pediatric cervical spine","volume":"18","author":"Johnson","year":"2016","unstructured":"Johnson KTAl-Holou WNAnderson RCE, et al. Morphometric analysis of the developing pediatric cervical spine. J Neurosurg Pediatr. 2016;18(3):377-389."},{"issue":"6","key":"bib14","series-title":"Eur Spine J","first-page":"1143","article-title":"Syrinx resolution after posterior fossa decompression in patients with scoliosis secondary to Chiari malformation type I","volume":"21","author":"Wu","year":"2012","unstructured":"Wu TZhu ZJiang J, et al. Syrinx resolution after posterior fossa decompression in patients with scoliosis secondary to Chiari malformation type I. Eur Spine J. 2012;21(6):1143-1150."},{"issue":"1","key":"bib15","series-title":"Neurosurgery","first-page":"E60","article-title":"Syringomyelia resolution following Chiari surgery: a novel scale for communication and research","volume":"88","author":"Lara-Reyna","year":"2020","unstructured":"Lara-Reyna JChae JTosi USouweidane MMUribe-Cardenas RGreenfield JP. Syringomyelia resolution following Chiari surgery: a novel scale for communication and research. Neurosurgery. 2020;88(1):E60-E66."},{"issue":"6","key":"bib16","series-title":"J Neurosurg Pediatr","first-page":"629","article-title":"Factors associated with syrinx size in pediatric patients treated for Chiari malformation type I and syringomyelia: a study","volume":"25","author":"Hale","year":"2020","unstructured":"Hale ATAdelson PDAlbert GW, et al. Factors associated with syrinx size in pediatric patients treated for Chiari malformation type I and syringomyelia: a study from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr. 2020;25(6):629-639."},{"issue":"1","key":"bib17","series-title":"J Neurosurg Pediatr","first-page":"39","article-title":"Complications and outcomes of posterior fossa decompression with duraplasty versus without duraplasty for pediatric patients with Chiari malformation type I and syringomyelia: a study from the Park-Reeves Syringomyelia Research","volume":"30","author":"Akbari","year":"2022","unstructured":"Akbari SHAYahanda ATAckerman LL, et al. Complications and outcomes of posterior fossa decompression with duraplasty versus without duraplasty for pediatric patients with Chiari malformation type I and syringomyelia: a study from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr. 2022;30(1):39-51."},{"key":"bib18","series-title":"Seizure","first-page":"1","article-title":"Ehlers-Danlos syndromes and epilepsy: an updated review","volume":"57","author":"Cortini","year":"2018","unstructured":"Cortini FVilla C. Ehlers-Danlos syndromes and epilepsy: an updated review. Seizure. 2018;57:1-4."},{"issue":"1","key":"bib19","series-title":"Am J Med Genet C Semin Med Genet","first-page":"8","article-title":"The 2017 international classification of the Ehlers\u2013Danlos syndromes","volume":"175","author":"Malfait","year":"2017","unstructured":"Malfait FFrancomano CByers P, et al. The 2017 international classification of the Ehlers\u2013Danlos syndromes. Am J Med Genet C Semin Med Genet. 2017;175(1):8-26."},{"issue":"6","key":"bib20","series-title":"J Neurosurg Spine","first-page":"601","article-title":"Syndrome of occipitoatlantoaxial hypermobility, cranial settling, and Chiari malformation type I in patients with hereditary disorders of connective tissue","volume":"7","author":"Milhorat","year":"2007","unstructured":"Milhorat THBolognese PANishikawa MMcDonnell NBFrancomano CA. Syndrome of occipitoatlantoaxial hypermobility, cranial settling, and Chiari malformation type I in patients with hereditary disorders of connective tissue. J Neurosurg Spine. 2007;7(6):601-609."},{"issue":"4","key":"bib21","series-title":"Pediatr Neurol","first-page":"278","article-title":"Chiari I malformation and neurofibromatosis type 1","volume":"30","author":"Tubbs","year":"2004","unstructured":"Tubbs RSRutledge SLKosentka ABartolucci AAOakes WJ. Chiari I malformation and neurofibromatosis type 1. Pediatr Neurol. 2004;30(4):278-280."},{"issue":"1","key":"bib22","series-title":"Neurosurg Clin N Am","first-page":"49","article-title":"Surgical evaluation and management of spinal pathology in patients with connective tissue disorders","volume":"33","author":"Ikwuezunma","year":"2022","unstructured":"Ikwuezunma IASponseller PD. Surgical evaluation and management of spinal pathology in patients with connective tissue disorders. Neurosurg Clin N Am. 2022;33(1):49-59."},{"key":"bib23","series-title":"Surg Neurol Int","first-page":"6","article-title":"Gowers\u2019 intrasyringeal hemorrhage associated with Chiari type I malformation in Noonan syndrome","volume":"5","author":"Mitsuhara","year":"2014","unstructured":"Mitsuhara TYamaguchi STakeda MKurisu K. Gowers\u2019 intrasyringeal hemorrhage associated with Chiari type I malformation in Noonan syndrome. Surg Neurol Int. 2014;5:6."},{"issue":"4","key":"bib1","series-title":"Neurosurg Clin N Am","first-page":"501","article-title":"Prevalence of Chiari I malformation and syringomyelia","volume":"26","author":"Kahn","year":"2015","unstructured":"Kahn ENMuraszko KMMaher CO. Prevalence of Chiari I malformation and syringomyelia. Neurosurg Clin N Am. 2015;26(4):501-507."},{"issue":"3","key":"bib2","series-title":"J Neurosurg Pediatr","first-page":"217","article-title":"The Chiari I malformation.","volume":"24","author":"McClugage","year":"2019","unstructured":"McClugage SGOakes WJ. The Chiari I malformation. J Neurosurg Pediatr. 2019;24(3):217-226."},{"issue":"2","key":"bib3","series-title":"J Neurosurg Pediatr","first-page":"205","article-title":"Chiari malformation type I and syrinx in children undergoing magnetic resonance imaging","volume":"8","author":"Strahle","year":"2011","unstructured":"Strahle JMuraszko KMKapurch JBapuraj JRGarton HJLMaher CO. Chiari malformation type I and syrinx in children undergoing magnetic resonance imaging. J Neurosurg Pediatr. 2011;8(2):205-213."},{"key":"bib4","series-title":"Pediatr Neurol","first-page":"32","article-title":"Prevalence and impact of underlying diagnosis and comorbidities on Chiari 1 malformation","volume":"106","author":"Sadler","year":"2020","unstructured":"Sadler BKuensting TStrahle J, et al. Prevalence and impact of underlying diagnosis and comorbidities on Chiari 1 malformation. Pediatr Neurol. 2020;106:32-37."},{"issue":"1","key":"bib5","series-title":"Neurosurg Clin N Am","first-page":"159","article-title":"Role of Chiari decompression in managing spinal deformity associated with Chiari I malformation and syringomyelia","volume":"34","author":"Chotai","year":"2023","unstructured":"Chotai SAum DJStrahle JM. Role of Chiari decompression in managing spinal deformity associated with Chiari I malformation and syringomyelia. Neurosurg Clin N Am. 2023;34(1):159-166."},{"issue":"6","key":"bib6","series-title":"J Neurosurg Pediatr","first-page":"607","article-title":"The association between Chiari malformation type I, spinal syrinx, and scoliosis","volume":"15","author":"Strahle","year":"2015","unstructured":"Strahle JSmith BWMartinez M, et al. The association between Chiari malformation type I, spinal syrinx, and scoliosis. J Neurosurg Pediatr. 2015;15(6):607-611."},{"issue":"5","key":"bib7","series-title":"J Neurosurg Pediatr","first-page":"520","article-title":"Radiological and clinical predictors of scoliosis in patients with Chiari malformation type I and spinal cord syrinx from the Park-Reeves","volume":"24","author":"Strahle","year":"2019","unstructured":"Strahle JMTaiwo RAverill C, et al. Radiological and clinical predictors of scoliosis in patients with Chiari malformation type I and spinal cord syrinx from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr. 2019;24(5):520-527."},{"issue":"4","key":"bib24","series-title":"J Neurosurg Pediatr","first-page":"368","article-title":"Relationship of syrinx size and tonsillar descent to spinal deformity in Chiari malformation Type I with associated syringomyelia","volume":"13","author":"Godzik","year":"2014","unstructured":"Godzik JKelly MPRadmanesh ARelationship of syrinx size and tonsillar descent to spinal deformity in Chiari malformation Type I with associated syringomyelia. J Neurosurg Pediatr. 2014;13(4):368-374."},{"issue":"5","key":"bib8","series-title":"J Neurosurg Pediatr","first-page":"585","article-title":"Longitudinal scoliosis behavior in Chiari malformation with and without syringomyelia","volume":"28","author":"Chotai","year":"2021","unstructured":"Chotai SNadel JLHolste KG, et al. Longitudinal scoliosis behavior in Chiari malformation with and without syringomyelia. J Neurosurg Pediatr. 2021;28(5):585-591."},{"issue":"1","key":"bib9","series-title":"J Neurosurg Pediatr","first-page":"53","article-title":"Radiological and clinical associations with scoliosis outcomes after posterior fossa decompression in patients with Chiari malformation and syrinx from the Park-Reeves Syringomyelia Research Consortium","volume":"26","author":"Strahle","year":"2020","unstructured":"Strahle JMTaiwo RAverill C, et al. Radiological and clinical associations with scoliosis outcomes after posterior fossa decompression in patients with Chiari malformation and syrinx from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr. 2020;26(1):53-59."},{"issue":"22","key":"bib10","series-title":"Spine","first-page":"2505","article-title":"Scoliosis associated with Chiari 1 malformations: the effect of suboccipital decompression on scoliosis curve progression: a preliminary study","volume":"28","author":"Brockmeyer","year":"2003","unstructured":"Brockmeyer DGollogly SSmith JT. Scoliosis associated with Chiari 1 malformations: the effect of suboccipital decompression on scoliosis curve progression: a preliminary study. Spine. 2003;28(22):2505-2509."},{"issue":"6","key":"bib11","series-title":"J Neurosurg Pediatr","first-page":"456","article-title":"Suboccipital decompression for Chiari malformation-associated scoliosis: risk factors and time course of deformity progression","volume":"1","author":"Attenello","year":"2008","unstructured":"Attenello FJMcGirt MJAtiba A, et al. Suboccipital decompression for Chiari malformation-associated scoliosis: risk factors and time course of deformity progression. J Neurosurg Pediatr. 2008;1(6):456-460."},{"issue":"2","key":"bib12","series-title":"Neuroimaging Clin N Am","first-page":"243","article-title":"Headache in Chiari malformation","volume":"29","author":"Bezuidenhout","year":"2019","unstructured":"Bezuidenhout AFChang YMHeilman CBBhadelia RA. Headache in Chiari malformation. Neuroimaging Clin N Am. 2019;29(2):243-253."},{"issue":"3","key":"bib13","series-title":"J Neurosurg Pediatr","first-page":"377","article-title":"Morphometric analysis of the developing pediatric cervical spine","volume":"18","author":"Johnson","year":"2016","unstructured":"Johnson KTAl-Holou WNAnderson RCE, et al. Morphometric analysis of the developing pediatric cervical spine. J Neurosurg Pediatr. 2016;18(3):377-389."},{"issue":"6","key":"bib14","series-title":"Eur Spine J","first-page":"1143","article-title":"Syrinx resolution after posterior fossa decompression in patients with scoliosis secondary to Chiari malformation type I","volume":"21","author":"Wu","year":"2012","unstructured":"Wu TZhu ZJiang J, et al. Syrinx resolution after posterior fossa decompression in patients with scoliosis secondary to Chiari malformation type I. Eur Spine J. 2012;21(6):1143-1150."},{"issue":"1","key":"bib15","series-title":"Neurosurgery","first-page":"E60","article-title":"Syringomyelia resolution following Chiari surgery: a novel scale for communication and research","volume":"88","author":"Lara-Reyna","year":"2020","unstructured":"Lara-Reyna JChae JTosi USouweidane MMUribe-Cardenas RGreenfield JP. Syringomyelia resolution following Chiari surgery: a novel scale for communication and research. Neurosurgery. 2020;88(1):E60-E66."},{"issue":"6","key":"bib16","series-title":"J Neurosurg Pediatr","first-page":"629","article-title":"Factors associated with syrinx size in pediatric patients treated for Chiari malformation type I and syringomyelia: a study","volume":"25","author":"Hale","year":"2020","unstructured":"Hale ATAdelson PDAlbert GW, et al. Factors associated with syrinx size in pediatric patients treated for Chiari malformation type I and syringomyelia: a study from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr. 2020;25(6):629-639."},{"issue":"1","key":"bib17","series-title":"J Neurosurg Pediatr","first-page":"39","article-title":"Complications and outcomes of posterior fossa decompression with duraplasty versus without duraplasty for pediatric patients with Chiari malformation type I and syringomyelia: a study from the Park-Reeves Syringomyelia Research","volume":"30","author":"Akbari","year":"2022","unstructured":"Akbari SHAYahanda ATAckerman LL, et al. Complications and outcomes of posterior fossa decompression with duraplasty versus without duraplasty for pediatric patients with Chiari malformation type I and syringomyelia: a study from the Park-Reeves Syringomyelia Research Consortium. J Neurosurg Pediatr. 2022;30(1):39-51."},{"key":"bib18","series-title":"Seizure","first-page":"1","article-title":"Ehlers-Danlos syndromes and epilepsy: an updated review","volume":"57","author":"Cortini","year":"2018","unstructured":"Cortini FVilla C. Ehlers-Danlos syndromes and epilepsy: an updated review. Seizure. 2018;57:1-4."},{"issue":"1","key":"bib19","series-title":"Am J Med Genet C Semin Med Genet","first-page":"8","article-title":"The 2017 international classification of the Ehlers\u2013Danlos syndromes","volume":"175","author":"Malfait","year":"2017","unstructured":"Malfait FFrancomano CByers P, et al. The 2017 international classification of the Ehlers\u2013Danlos syndromes. Am J Med Genet C Semin Med Genet. 2017;175(1):8-26."},{"issue":"6","key":"bib20","series-title":"J Neurosurg Spine","first-page":"601","article-title":"Syndrome of occipitoatlantoaxial hypermobility, cranial settling, and Chiari malformation type I in patients with hereditary disorders of connective tissue","volume":"7","author":"Milhorat","year":"2007","unstructured":"Milhorat THBolognese PANishikawa MMcDonnell NBFrancomano CA. Syndrome of occipitoatlantoaxial hypermobility, cranial settling, and Chiari malformation type I in patients with hereditary disorders of connective tissue. J Neurosurg Spine. 2007;7(6):601-609."},{"issue":"4","key":"bib21","series-title":"Pediatr Neurol","first-page":"278","article-title":"Chiari I malformation and neurofibromatosis type 1","volume":"30","author":"Tubbs","year":"2004","unstructured":"Tubbs RSRutledge SLKosentka ABartolucci AAOakes WJ. Chiari I malformation and neurofibromatosis type 1. Pediatr Neurol. 2004;30(4):278-280."},{"issue":"1","key":"bib22","series-title":"Neurosurg Clin N Am","first-page":"49","article-title":"Surgical evaluation and management of spinal pathology in patients with connective tissue disorders","volume":"33","author":"Ikwuezunma","year":"2022","unstructured":"Ikwuezunma IASponseller PD. Surgical evaluation and management of spinal pathology in patients with connective tissue disorders. Neurosurg Clin N Am. 2022;33(1):49-59."},{"key":"bib23","series-title":"Surg Neurol Int","first-page":"6","article-title":"Gowers\u2019 intrasyringeal hemorrhage associated with Chiari type I malformation in Noonan syndrome","volume":"5","author":"Mitsuhara","year":"2014","unstructured":"Mitsuhara TYamaguchi STakeda MKurisu K. Gowers\u2019 intrasyringeal hemorrhage associated with Chiari type I malformation in Noonan syndrome. Surg Neurol Int. 2014;5:6."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/24\/article-CASE24272.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/24\/article-CASE24272.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/24\/article-CASE24272.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:52:12Z","timestamp":1769687532000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/24\/article-CASE24272.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,9]]},"references-count":48,"journal-issue":{"issue":"24"},"URL":"https:\/\/doi.org\/10.3171\/case24272","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,9]]}}}