Position of tonsillar tip in relation to foramen magnum in children with structurally normal MRI brain imaging.

Introduction: The position of the tonsillar tip in relation to the foramen magnum varies from individual to individual, even after excluding all predisposing factors that might alter the tonsillar tip position; the mere presence of the tonsillar ectopia should not be misinterpreted as Chiari malform...

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Published in:Journal of Pediatric Neurosciences Vol. 17; no. 1; pp. 36 - 41
Main Authors: Putrevu, VenkataPravallika, Thodika, Unais, Raiyani, Yatin, Mangaleswaran, Balamurugan
Format: diagnostic images research tables/charts Journal Article
Published: Wolters Kluwer India Pvt Ltd Jan-Mar2022
Online Access:View this record in EBSCOhost
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      dt: Jan-Mar2022
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      pub: Wolters Kluwer India Pvt Ltd
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        10.4103/JPN.JPN_154_20
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        atl: Position of tonsillar tip in relation to foramen magnum in children with structurally normal MRI brain imaging.
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        au:
          Putrevu, VenkataPravallika
          Thodika, Unais
          Raiyani, Yatin
          Mangaleswaran, Balamurugan
        affil: Department of Neurosciences, Apollo Hospitals, Chennai, Tamil Nadu
      sug:
        subj:
          Foramen Magnum Anatomy and Histology
          Arnold-Chiari Malformation
          Brain Radiography
          Magnetic Resonance Imaging Methods
          Age Factors
          Sex Factors
          Human
          Infant
          Child, Preschool
          Child
          Adolescence
          Retrospective Design
          Record Review
          Data Analysis Software
          Descriptive Statistics
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Introduction: The position of the tonsillar tip in relation to the foramen magnum varies from individual to individual, even after excluding all predisposing factors that might alter the tonsillar tip position; the mere presence of the tonsillar ectopia should not be misinterpreted as Chiari malformation. Aim: Our aim is to establish the normal range of the tonsillar tip position and the incidence of tonsillar ectopia and its relation to age and sex in asymptomatic Indian children with structurally normal MRI brain imaging. Materials and Methods: We have conducted a retrospective data collection comprising 301 structurally normal MRI brain images done for children younger than 14 years, in which we measured the level of the tonsillar tip from the foramen magnum by taking the Mc Rae line as constant. Measurements were taken in the right and left parasagittal sections of T1-weighted MRI brain images by using pre-existing software. Statistical Analysis Used: Data analysis was done by SPSS v 25.0; all P values <0.05 were considered statistically significant. Results and Conclusion: The incidence of tonsillar ectopia in Indian children was about 13.79%, and the median tonsillar position was 3.2 mm above the foramen magnum with a median range of 5.2 mm above to the level of the foramen magnum (0).
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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