Özalp H, Özgüral O, Alpergin BC, İnceoğlu A, Özalp S, Armağan E, Uçar H, Beger O. Analysis of the prechiasmatic sulcus in Chiari Malformation Type I.
World Neurosurg 2023:S1878-8750(23)00567-3. [PMID:
37116784 DOI:
10.1016/j.wneu.2023.04.083]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 04/19/2023] [Indexed: 04/30/2023]
Abstract
OBJECTIVE
This study aimed to assess morphological features of the prechiasmatic sulcus (PS) in Chiari Malformation Type I (CM-I).
METHODS
The study population consisted of computed tomography images of 42 CM-I patients (average age: 21.26±16.46 years; sex: 25 females and 17 males) and 58 normal subjects (average age: 28.12±22.60 years; sex: 29 females and 29 males). The measured parameters to determine the anatomy of PS were as follows: the planum length (PL), sulcal length (SL), sulcal angle (SA), and interoptic distance (IOD). Considering SL and SA measurements, PS was identified as four types: the narrow-steep-groove (NSG), narrow-flat-groove (NFG), wide-steep-groove (WSG), and wide-flat-groove (WFG).
RESULTS
SA was greater in CM-I (32.80±18.21°) compared to the control group (23.05±14.53°) (p=0.004), but the others were similar in both groups. Distribution ranking of PS types was found as NFG (31%) > NSG (26.20%) > WSG (23.80%) > WFG (19%) in CM-I group, while as WFG (37.90%) > WSG (20.70%) = NFG (20.70%) = NSG (20.70%) in the control group. Distribution rate of PS types relative to both groups showed that the classification system was not affected by CM-I (p=0.226).
CONCLUSIONS
SA value is approximately 25% greater in CM-I than the control; thus, CM-I subjects have more vertical groove. The percentage of narrow-type (NSG + NFG) in CM-I was higher than in the control group.
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