Assessment of the Anterior Clinoid Process and Optic Strut in Chiari Malformation Type I: A Computed Tomography Study

Abstract

Objective This study aimed to evaluate morphological features of the anterior clinoid process (ACP) and the optic strut (OS) in Chiari malformation Type I (CM-I).

Methods The study universe consisted of computed tomography images of 41 CM-I patients and 45 normal subjects. Comparison of the parameters for CM-I and the control group was performed with the Student's t-test. A “p < 0.05” was accepted as the significance level.

Results ACP length was smaller in CM-I than the control group (p < 0.001). In contrast to ACP length, ACP angle (p < 0.001), OS length (p = 0.022), and the distance between ACP and OS (p = 0.020) were found greater in CM-I in comparison to the control group (p < 0.05). ACP width (p = 0.233) and OS width (p = 0.376) were similar in both groups. ACP pneumatization in CM-I group was found as 12.20%, whereas in the control group as 8.90%. Two different types about the pneumatization were identified in CM-I group (Type 1: 4.9% and Type 2: 7.3%), whereas three different types in the control group (Type 1: 3.3%, Type 2: 4.4%, and Type 3: 1.1%). Relative to ACP, three different types about OS position were identified in CM-I group (Type C: 31.70%, Type D: 64.60%, and Type E: 3.70%) and the control group (Type C: 7.80%, Type D: 64.40%, and Type E: 27.80%).

Conclusion Shorter ACP, wide-angled ACP, longer OS, and more anteriorly located OS were found in CM-I group compared with the normal group. Our findings showed that the pneumatization of ACP was not affected by CM-I.

Keywords

anterior clinoidectomy - pneumatization - anterior clinoid process - optic strut - Chiari malformation Type I

Authors' Contributions

Conceptualization: H.Ö., O.Ö., E.A., S.Ö.; methodology: H.Ö., S.Ö., O.Ö., E.A.; data collection: O.Ö., B.C.A.; analysis and interpretation of results: H.U., Aİ, O.B.; writing original draft: H.Ö., O.B., H.U., Aİ; critical revision of the manuscript: H.Ö., O.Ö., O.B.; approval of the final version of the manuscript: all authors.

Ethical Approval

The Clinical Research Ethics Committee of Ankara University approved this retrospective CT work ethically (confirmation date September 22, 2022, no. 108-521-22).

Informed Consent

Approval from the Institutional Review Board was obtained and in keeping with the policies for a retrospective review; informed consent was not required.

Publication History

Received: 23 January 2023

Accepted: 27 March 2023

Article published online:
19 April 2023

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