Turkish Neurosurgery
The Role of Cine Flow Magnetic Resonance Imaging in Patients with Chiari 0 Malformation
Kerem Mazhar Ozsoy1, Kadir Oktay2, Nuri Eralp Cetinalp1, Yurdal Gezercan3, Tahsin Erman1
1Cukurova University School of Medicine, Neurosurgery Department, Adana,
2Mehmet Akif Inan Training and Research Hospital, Neurosurgery Department, Sanliurfa,
3Adana Numune Training and Research Hospital, Neurosurgery Department, Adana,
DOI: 10.5137/1019-5149.JTN.19049-16.2

Aim:The aim of this study was to define the role of phase-contrast cine magnetic resonance imaging in deciding the therapeutic strategy and underlying pathophysiology resulting in syrinx formation in patients with Chiari type 0 malformation.Material and Methods:Seven patients admitted to our clinic with diagnosis of Chiari 0 malformations during the period January 2005 to July 2016 were enrolled in the study. All patients underwent a detailed preoperative neurological examination. The entire neuroaxis magnetic resonance imaging and phase-contrast cine magnetic resonance imaging was obtained preoperatively and postoperatively.Results:Seven patients (5 female and 2 male) cover the inclusion criteria of the Chiari type 0. All of the patients with Chiari type 0 malformation had absent cine flow at the craniovertebral junction except two patients. All these five patients underwent surgical interventions; suboccipital decompression and duraplasty. All of them showed both clinical and imaging improvements postoperatively.Conclusion:Cine flow magnetic resonance imaging appears to be a useful tool in the management of patients with Chiari 0 malformations. There was a good correlation between the clinical presentation and cine flow preoperatively, and between clinical improvement and cine flow postoperatively.

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