Abstract
Arnold-Chiari (AC) disease in children is a complex congenital condition requiring multidisciplinary management. Surgical intervention is often necessary to correct affected anatomy and alleviate symptoms, yet post-surgical management is also crucial. This literature review aims to investigate surgical approaches and post-surgical management of AC in children, as well as identify remaining knowledge gaps. Literature search was systematically conducted through PubMed using relevant keywords. Inclusion criteria encompassed studies within the past 15 years pertaining to pediatric neurosurgery and Chiari. The literature review identified 6 relevant studies highlighting the importance of intraoperative electrophysiological monitoring, comparison of outcomes between posterior decompression with and without duraplasty, correlation of CSF flow with surgical outcomes, post-operative pain management, and indications for syringosubarachnoid shunt placement. Surgical intervention for AC in children is a critical step, yet meticulous post-surgical management is required. Studies highlight knowledge gaps regarding long-term effects of intraoperative monitoring techniques, outcome comparisons between surgical procedures, the relationship between CSF flow and surgical outcomes, and post-operative pain management. Cross-disciplinary collaboration and emphasis on a holistic approach are necessary to enhance understanding and care of AC in children.
Published Version
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