Skip to main content
. 2012 May 1;28(7):977–985. doi: 10.1007/s00381-012-1761-5

Table 2.

Proportions of ‘present’ and ‘indefinable’ ratings per observer for each feature of Chiari II malformation

Feature Present Indefinable Non-applicablea
A B C A B C
Sagittal plane
 Downward herniation cerebellum 35 33 35
 Downward herniation vermis 25 28 35 3 3
 Downward herniation tonsil 33 30 26 1 1 6
 Upward herniation cerebellum 13 17 6 6 3
 Downward displacement medulla 30 26 20 3
 Downward displacement pons 26 26 13 3 3
 Downward displacement fourth ventricle 25 23 20 4 1
 Medullary kinking 17 14 14 1 1 6
 Flattened pons 25 38 23
 Abnormal width fourth ventricle 25b 25 29b 1
 Hypoplastic tentorium 26 22 22 13 3
 Abnormal course straight sinus 23 23 29 9 4 3
 Beaked tectum 25 28 23
 Enlarged massa intermedia 43 62 10 4
 Stenogyria 19 7 9 3 22 12 +
Axial plane
 Cerebellum in cervical spinal canal 21 21 19 10 19 12 +
 Vermis in cervical spinal canal 2 2 14 26 36 16 +
 Tonsil in cervical spinal canal 7 5 16 24 34 16 +
 Cerebellum wrapped around brainstem 29 24 3 5 2
 Abnormal fissural pattern of cerebellum 29 59 47 7 7 5 +
 Small fourth ventricle 26 28 26 3
 Enlarged fourth ventricle 3 2 3 9
 Beaked tectum 19 26 19 7 7 7 +
 Enlarged massa intermedia 17 12 3 98 +
 Gyral interdigitation 22 31 17 5 7 5 +
 Stenogyria 17 9 7 7 91 12 +
Coronal plane
 Downward herniation cerebellum 35 26 24 8 8 4 +
 Downward herniation vermis 10 69 14 18 31 6 +
 Downward herniation tonsil 35 24 24 8 10 2 +
 Upward herniation cerebellum 26 12 8 2 6 6 +
 Indentation 12 12 6 2 4
 Hypoplastic tentorium 26 2 14 4 61 2
 Gyral interdigitation 18 26 14 2 10 4

Data are percentages

A observer A, B observer B, C observer C

aAt least two observers considered the feature as indefinable in more than 5 % of the MR images

bAll abnormally small fourth ventricles, except for one dilated fourth ventricle