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Help share more videos like this by donating to Bobby Jones CSF: https://bobbyjonescsf.org/donate-online/ Dr. David Limbrick, pediatric neurosurgeon at St. Louis Children's Hospital, provides another update on the $2.8 million PCORI-funded randomized trial to compare the two most common surgical methods in kids who have Chiari with syringomyelia. He does a great job describing how the trial works and how this multi-institutional research study is going so far. The purpose of this trial is to determine if the usual surgery for Chiari (posterior fossa decompression) is more, less or just as effective with or without what neurosurgeons call "duraplasty", which involves opening the little film covering the brain called the "dura". There are pros and cons to opening or not opening the dura and, right now, there is no real evidence proving which (if either) approach is better. The m randomized trial is designed to find this evidence. This lecture was given at the 2018 CSF Think Tank meeting on April 28, 2018 in New Orleans, LA. For more information, visit our website: https://bobbyjonescsf.org Connect with us: Facebook: / bobbyjonescsf Twitter: / bobbyjonescsf Instagram: http://instagram/bobbyjonescsf