{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T09:09:52Z","timestamp":1779527392147,"version":"3.53.1"},"reference-count":54,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:p>Cerebellar ptosis is a rare complication following Chiari malformation decompression, and generally is the result of a very large suboccipital craniectomy. This can lead to the descent of the cerebellum through the craniectomy defect, which in turn may result in cerebellar herniation through the surgical defect as well as the reestablishment of contact between the cerebellar tonsils and the brainstem. In addition, dorsal adherence of the herniated cerebellum to the dura mater or dural patch and an associated obstruction of cerebrospinal fluid flow at the cervicomedullary junction may ensue. Such a result is not desirable, in that it reproduces or mimics the pathoanatomical relationships that existed prior to the surgical decompression.<\/jats:p>","DOI":"10.3171\/foc.2008.25.12.e12","type":"journal-article","created":{"date-parts":[[2008,11,26]],"date-time":"2008-11-26T11:56:31Z","timestamp":1227700591000},"page":"E12","source":"Crossref","is-referenced-by-count":15,"title":["Acute respiratory arrest following partial suboccipital cranioplasty for cerebellar ptosis from Chiari malformation decompression"],"prefix":"10.3171","volume":"25","author":[{"given":"Xiao","family":"Di","sequence":"first","affiliation":[{"name":"Section of Pediatric and Congenital Neurosurgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark G.","family":"Luciano","sequence":"additional","affiliation":[{"name":"Section of Pediatric and Congenital Neurosurgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward C.","family":"Benzel","sequence":"additional","affiliation":[{"name":"Center for Spine Health, Neurological Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0250012","series-title":"Acta Neurol Scand","first-page":"12","article-title":"Surgical prognosis in hindbrain related syringomyelia","volume":"107","author":"Asgari","year":"2003"},{"key":"b2-0250012","series-title":"J Neurosurg","first-page":"812","article-title":"Symptomatic Arnold-Chiari malformation: review of experience with 22 cases","volume":"66","author":"Bell","year":"1987"},{"key":"b3-0250012","series-title":"Rev Neurol","first-page":"745","article-title":"Episodes of unilateral sympathetic hyperfunction, changes in consciousness status and respiratory dysfunction in a girl with type II Chiari malformation","volume":"31","author":"Cocolina","year":"2000"},{"key":"b4-0250012","series-title":"Childs Nerv Syst","first-page":"625","article-title":"Posterior fossa decompression for Chiari I deformity, including resection of the cerebellar tonsils","volume":"11","author":"Fischer","year":"1995"},{"key":"b5-0250012","series-title":"J Neurol Neurosurg Psychiatry","first-page":"714","article-title":"Respiratory arrest: a complication of cerebellar ectopia in adults","volume":"51","author":"Fish","year":"1988"},{"key":"b6-0250012","series-title":"Pediatrics","first-page":"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","year":"2002"},{"key":"b7-0250012","series-title":"Neurosurgery","first-page":"353","article-title":"Current treatment of Chiari malformations types I and II: A survey of the Pediatric Section of the American Association of Neurological Surgeons","volume":"28","author":"Haines","year":"1991"},{"key":"b8-0250012","series-title":"J Neurosurg","first-page":"21","article-title":"Management of cerebellar ptosis following craniovertebral decompression for Chiari I malformation","volume":"94","author":"Holly","year":"2001"},{"key":"b9-0250012","series-title":"No To Shinkei","first-page":"575","article-title":"A sudden-death in a case of Arnold-Chiari malformation (type I) with sleep apnea","volume":"37","author":"Iwabuchi","year":"1985"},{"key":"b10-0250012","series-title":"Acta Neurochir (Wien)","first-page":"788","article-title":"The surgical treatment of Chiari I malformation","volume":"138","author":"Klekamp","year":"1996"},{"key":"b11-0250012","series-title":"J Neurosurg","first-page":"307","article-title":"Chiari malformation with compression of the medulla oblongata by the vertebral arteries. 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