Analysis of the Volumes of the Posterior Cranial Fossa, Cerebellum, and Herniated Tonsils Using the Stereological Methods in Patients with Chiari Type I Malformation

Objective. The aim of this study was to determine the posterior cranial fossa volume, cerebellar volume, and herniated tonsillar volume in patients with chiari type I malformation and control subjects using stereological methods. Material and Methods. These volumes were estimated retrospectively usi...

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Main Authors: Ümit Erkan Vurdem, Niyazi Acer, Tolga Ertekin, Ahmet Savranlar, Mehmet Fatih İnci
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/616934
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author Ümit Erkan Vurdem
Niyazi Acer
Tolga Ertekin
Ahmet Savranlar
Mehmet Fatih İnci
author_facet Ümit Erkan Vurdem
Niyazi Acer
Tolga Ertekin
Ahmet Savranlar
Mehmet Fatih İnci
author_sort Ümit Erkan Vurdem
collection DOAJ
description Objective. The aim of this study was to determine the posterior cranial fossa volume, cerebellar volume, and herniated tonsillar volume in patients with chiari type I malformation and control subjects using stereological methods. Material and Methods. These volumes were estimated retrospectively using the Cavalieri principle as a point-counting technique. We used magnetic resonance images taken from 25 control subjects and 30 patients with chiari type I malformation. Results. The posterior cranial fossa volume in patients with chiari type I malformation was significantly smaller than the volume in the control subjects (P<0.05). In the chiari type I malformation group, the cerebellar volume was smaller than the control group, but this difference was not statistically significant (P>0.05). In the chiari type I malformation group, the ratio of cerebellar volume to posterior cranial fossa volume was higher than in the control group. We also found a positive correlation between the posterior cranial fossa volume and cerebellar volume for each of the groups (r=0.865, P<0.001). The mean (±SD) herniated tonsillar volume and length were 0.89±0.50 cm3 and 9.63±3.37 mm in the chiari type I malformation group, respectively. Conclusion. This study has shown that posterior cranial fossa and cerebellum volumes can be measured by stereological methods, and the ratio of these measurements can contribute to the evaluation of chiari type I malformation cases.
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spelling doaj-art-d0329312c49b4a6ba5622d3fc5ec5c8b2025-08-20T03:19:46ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/616934616934Analysis of the Volumes of the Posterior Cranial Fossa, Cerebellum, and Herniated Tonsils Using the Stereological Methods in Patients with Chiari Type I MalformationÜmit Erkan Vurdem0Niyazi Acer1Tolga Ertekin2Ahmet Savranlar3Mehmet Fatih İnci4Department of Radiology, Kayseri Education and Research Hospital, 38010 Kayseri, TurkeyDepartment of Anatomy, Erciyes University School of Medicine, 38039 Kayseri, TurkeyDepartment of Anatomy, Erciyes University School of Medicine, 38039 Kayseri, TurkeyDepartment of Radiology, Kayseri Education and Research Hospital, 38010 Kayseri, TurkeyDepartment of Radiology, Elazığ Harput State Hospital, 23200 Elazığ, TurkeyObjective. The aim of this study was to determine the posterior cranial fossa volume, cerebellar volume, and herniated tonsillar volume in patients with chiari type I malformation and control subjects using stereological methods. Material and Methods. These volumes were estimated retrospectively using the Cavalieri principle as a point-counting technique. We used magnetic resonance images taken from 25 control subjects and 30 patients with chiari type I malformation. Results. The posterior cranial fossa volume in patients with chiari type I malformation was significantly smaller than the volume in the control subjects (P<0.05). In the chiari type I malformation group, the cerebellar volume was smaller than the control group, but this difference was not statistically significant (P>0.05). In the chiari type I malformation group, the ratio of cerebellar volume to posterior cranial fossa volume was higher than in the control group. We also found a positive correlation between the posterior cranial fossa volume and cerebellar volume for each of the groups (r=0.865, P<0.001). The mean (±SD) herniated tonsillar volume and length were 0.89±0.50 cm3 and 9.63±3.37 mm in the chiari type I malformation group, respectively. Conclusion. This study has shown that posterior cranial fossa and cerebellum volumes can be measured by stereological methods, and the ratio of these measurements can contribute to the evaluation of chiari type I malformation cases.http://dx.doi.org/10.1100/2012/616934
spellingShingle Ümit Erkan Vurdem
Niyazi Acer
Tolga Ertekin
Ahmet Savranlar
Mehmet Fatih İnci
Analysis of the Volumes of the Posterior Cranial Fossa, Cerebellum, and Herniated Tonsils Using the Stereological Methods in Patients with Chiari Type I Malformation
The Scientific World Journal
title Analysis of the Volumes of the Posterior Cranial Fossa, Cerebellum, and Herniated Tonsils Using the Stereological Methods in Patients with Chiari Type I Malformation
title_full Analysis of the Volumes of the Posterior Cranial Fossa, Cerebellum, and Herniated Tonsils Using the Stereological Methods in Patients with Chiari Type I Malformation
title_fullStr Analysis of the Volumes of the Posterior Cranial Fossa, Cerebellum, and Herniated Tonsils Using the Stereological Methods in Patients with Chiari Type I Malformation
title_full_unstemmed Analysis of the Volumes of the Posterior Cranial Fossa, Cerebellum, and Herniated Tonsils Using the Stereological Methods in Patients with Chiari Type I Malformation
title_short Analysis of the Volumes of the Posterior Cranial Fossa, Cerebellum, and Herniated Tonsils Using the Stereological Methods in Patients with Chiari Type I Malformation
title_sort analysis of the volumes of the posterior cranial fossa cerebellum and herniated tonsils using the stereological methods in patients with chiari type i malformation
url http://dx.doi.org/10.1100/2012/616934
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