title: The Role of Cine Flow Magnetic Resonance Imaging in Patients with Chiari 0 Malformation.
abstract: OBJECTIVE
  To define the role of phase-contrast cine magnetic resonance imaging (MRI) in deciding the therapeutic strategy and underlying pathophysiology resulting in syrinx formation in patients with Chiari type 0 malformation.
  
  
  METHODS
  Seven patients who were admitted to our clinic with the diagnosis of Chiari 0 malformation from January 2005 to July 2016 were enrolled in the study. All patients underwent a detailed preoperative neurological examination. Entire neuroaxis MRI and phase-contrast cine MRI were obtained preoperatively and postoperatively.
  
  
  RESULTS
  Seven patients (5 female and 2 male) with Chiari type 0 malformation fulfilled the inclusion criteria. All of the patients had absent cine flow at the craniovertebral junction except two patients. These five patients underwent surgical interventions; suboccipital decompression and duraplasty. All of them showed both clinical and radiological improvement in the postoperative period.
  
  
  CONCLUSIONS
  Cine flow MRI appears to be a useful tool in the management of patients with Chiari 0 malformation. There was a good correlation between the clinical presentation and cine flow preoperatively, and between clinical improvement and cine flow in the postoperative period.
authors.affiliation: Cukurova University, School of Medicine, Department of Neurosurgery, Adana, Turkey.
authors.forename: Kerem Mazhar
authors.initials: KM
authors.lastname: Ozsoy
authors.forename: Kadir
authors.initials: K
authors.lastname: Oktay
authors.forename: Nuri Eralp
authors.initials: NE
authors.lastname: Cetinalp
authors.forename: Yurdal
authors.initials: Y
authors.lastname: Gezercan
authors.forename: Tahsin
authors.initials: T
authors.lastname: Erman
mesh_terms: D000328:Adult; D001139:Arnold-Chiari Malformation / Q000000981:diagnostic imaging* / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome