How tiny injuries in the brainstem and spinal cord affect symptoms of Chiari malformation and syringomyelia

Microstructural Injury to the Brainstem and Spinal Cord Determines Outcomes in CM and SM

['FUNDING_P01'] · WASHINGTON UNIVERSITY · NIH-11182747

Using advanced MRI scans, the team will look for small-scale brainstem and spinal cord injury and abnormal CSF flow in people with Chiari I malformation or syringomyelia to better predict symptoms and recovery after treatment.

Quick facts

Phase['FUNDING_P01']
Study typeNih_funding
SexAll
SponsorWASHINGTON UNIVERSITY (nih funded)
Locations1 site (SAINT LOUIS, UNITED STATES)
Trial IDNIH-11182747 on ClinicalTrials.gov

What this research studies

If you take part, you would get advanced MRI scans that measure tiny changes in the brainstem and spinal cord and 4D imaging of cerebrospinal fluid (CSF) flow. The project will compare these imaging measures with patients' symptoms, function, and long-term outcomes. Researchers will also look at how CSF flow and microstructural injury change after neurosurgery when patients undergo standard surgical care. The goal is to link the imaging findings with who improves, who stays the same, and who may need different treatment options.

Who could benefit from this research

Good fit: People diagnosed with Chiari type I malformation, with or without syringomyelia, especially those having symptoms or being considered for neurosurgical treatment, would be ideal candidates.

Not a fit: People without Chiari I malformation or whose symptoms are caused by other unrelated conditions are unlikely to get direct benefit from this project.

Why it matters

Potential benefit: If successful, the work could help predict who will benefit from surgery and guide more personalized treatment to reduce symptoms and long-term problems.

How similar studies have performed: Previous MRI and CSF-flow studies have suggested links between CSF dynamics and symptoms in Chiari, but the specific microstructural MRI measures and 4D flow approaches used here are relatively new and not yet proven.

Where this research is happening

SAINT LOUIS, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.