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Background Every clinician familiar with spina bifida knows what Chiari type2 malformation (C2M) is about. However, as soon as it concerns a single patient, the discussion starts whether or not it is justified to make the diagnosis in that particular case. This complicates the insight in the epidemiology and pathogenesis, complicates the indication for (fetal) surgery and complicates inferences on the effect of treatment. This was reason for us to investigate the reliability of the diagnosis of C2M.

Reliability of the MRI diagnosis of the Chiari type2 malformation