Table 2.
Instability of CCJ | Tethering | Hydrocephalus | Intracranial Mass | Pressure Dissociation | |
---|---|---|---|---|---|
VPCF | normal | normal | normal | normal | normal |
VAFM | normal | normal | normal | normal | normal |
VBPCV/VPCF | normal | normal | normal/large | normal/large | normal |
Brainstem and Cerebellum | normal | elongation and downward displacement | normal | normal | |
Cause | cranial settling | traction | pressure coning | Hypotension of intraspinal canal | |
Intervention | CCF | untethering/SFT | VPS | resection of mass or FMD | others |
Abbreviations: CM-I: Chiari malformation, CCJ = craniocervical junction, VPCV: volume of the posterior cranial fossa, VAFM: volume of area of surrounding foramen magnum, PFBV: volume of brain in posterior cranial fossa, CCF: craniocervical fixation, SFT: section of filum terminale, VPS: ventriculo-peritoneal shunt.