Defining Unique Chiari Classifications

2018 Bobby Jones CSF Think Tank: Genetic Advancements and New Research in Chiari Malformation, Syringomyelia & Related Disorders

LOEWS HOTEL NEW ORLEANS - NEW ORLEANS, LA - APRIL 28, 2018

Dr. Jeffrey Greenfield, pediatric neurosurgeon at Weill Cornell Medical Center in New York City, introduces the concept of Chiari malformation with or without cerebellar ectopia (or, "herniation") in this presentation. This is a concept that has plagued clinical practices for a long time-- what should doctors do to help patients who have syringomyelia or general Chiari symptoms, but no radiological Chiari on an MRI?

Dr. Greenfield describes what he has come to call "Chiari 0.5", which is not quite a Chiari, but not clinically insignificant, either. With all the new ways that medical professionals have begun thinking about Chiari in different contexts, more of the medical community is beginning to agree that there are patients with different "kinds" of Chiari who may need to be treated very differently.

This lecture was given at the CSF Think Tank meeting on April 28, 2018 in New Orleans, LA. (2018)

  Revised: 9/2019