Direct syrinx drainage in patients with Chiari I malformation

Jehuda Soleman, Jonathan Roth, Shlomi Constantini*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


While FMD is, to date, the primary treatment of symptomatic CM I, the treatment of Chiari malformation type I (CM I) associated syrinx remains controversial. In cases of persistent, progressive, or recurrent syrinx following FMD, direct syrinx drainage (DSD) is described as a safe and efficient option, leading to a good clinical and radiological outcome. However, studies at hand mostly include very heterogeneous patient populations, small cohorts, and are of retrospective nature. We provide an overview of the possible indications and outcome for DSD in CM I–associated syrinx. We discuss the different surgical techniques of DSD and review the available literature comparing different DSD techniques. Finally, we discuss the possible complications that might occur after DSD and how they can be prevented.

Original languageEnglish
Pages (from-to)1863-1868
Number of pages6
JournalChild's Nervous System
Issue number10
StatePublished - 1 Oct 2019


  • Chiari malformation
  • Spinal cord
  • Syringomyelia
  • Syringosubarachnoid shunt
  • Syrinx
  • Syrinx shunt


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