A Systematic Review of Cognition in Chiari I Malformation

Neuropsychology Review
Jeffrey M RogersMarcus A Stoodley

Abstract

Displacement of the cerebellar tonsils in Chiari type I malformation (CMI) can affect functions controlled by the cerebellum and brainstem. While playing an integral role in the control of movement, the cerebellum also has widespread cortical connections, influencing a range of cognitive process. A systematic literature review was conducted to examine the relationship between cognition and CMI, assessing evidence for general or domain-specific cognitive change. The search protocol examined the AMED, CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, and Scopus databases. Articles meeting the following criteria were included in this review (i) examined children or adults with a clinically defined diagnosis of CMI, (ii) assessed cognitive function with a prospective examination, (iii) included at least one standardized instrument designed to measure general or specific domains of cognitive function, and (iv) were published in English in a peer-reviewed journal. Twelve articles were identified, including 783 cases aged 3 months to 64 years. General cognition, processing speed, and learning and memory appeared less affected, while language deficits appeared to diminish with age. Executive dysfunction was the most commonly reporte...Continue Reading

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Citations

May 17, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Federica Novegno
Feb 13, 2020·The Cerebellum·Maitane GarcíaJon Infante
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Jul 20, 2021·Brain Communications·Michelle L HoustonPhilip A Allen
Mar 5, 2019·World Neurosurgery·Maureen LacyDavid M Frim

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