Subpial cerebellar tonsillectomy for decompression of the cervicomedullary junction in children and young adults

Subpial tonsillar resection for Chiari malformations is a safe and effective method to maximally decompress the craniocervical junction and immediately reestablish pulsatile cerebrospinal fluid flow out of the fourth ventricle. Most patients will experience improvement or resolution of their associated symptoms and significant reduction (> 50% diameter reduction) or resolution of their syringohydromyelia.

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Publication Details

Journal
Journal of Neurosurgery Pediatrics
Published
2025-12-26
DOI
https://doi.org/10.3171/2025.8.peds25174
Primary Topic
Spinal Dysraphism and Malformations
Type
article
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article

Subpial cerebellar tonsillectomy for decompression of the cervicomedullary junction in children and young adults

Brandy Vaughn, Paul Klimo, Kendall Snyder, Danielle Shears et al.
Journal of Neurosurgery Pediatrics
Spinal Dysraphism and Malformations
article

Subpial cerebellar tonsillectomy for decompression of the cervicomedullary junction in children and young adults

Brandy Vaughn, Paul Klimo, Kendall Snyder, Danielle Shears, Mark D. Van Poppel, David G. Laird, Christopher Troy, Emal Lesha, Mallory Saleh, Scott D. Wait
article en

Abstract

Subpial tonsillar resection for Chiari malformations is a safe and effective method to maximally decompress the craniocervical junction and immediately reestablish pulsatile cerebrospinal fluid flow out of the fourth ventricle. Most patients will experience improvement or resolution of their associated symptoms and significant reduction (> 50% diameter reduction) or resolution of their syringohydromyelia.

Journal of Neurosurgery PediatricsVol. 37(3)
University of Tennessee Health Science Center (US), Carolina Neurosurgery and Spine Associates (US), Semmes Murphey Foundation (US), Levine Children's Hospital (US), Le Bonheur Children's Hospital (US)
Good health and well-being
Openalex Percentile: Top 24%
Spinal Dysraphism and Malformations
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