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James Feghali, Yangyiran Xie, Yuxi Chen, Sean Li, and Judy Huang

and without a spinal cord syrinx. A syrinx was defined as at least 3 mm of cavitation in the spinal cord on T2-weighted MRI. 3 Exclusion criteria included reoperation procedures and patients with concomitant connective tissue disease (e.g., Ehlers-Danlos syndrome). Surgical Procedure A thorough evaluation of clinical presentation, symptom severity, limitations in daily activities, imaging, and CSF flow studies was conducted before offering surgery to patients. Indications for surgery generally included clinically impairing symptoms that affected daily

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James Feghali, Yuxi Chen, Yangyiran Xie, Christopher Chen, and Judy Huang

tonsillar tip on MRI, along with symptoms attributable to CM-1, including any combination of the following symptoms: headache, neck pain, imbalance, weakness, visual symptoms, tinnitus, dysphagia, paresthesias, and numbness. 8 Patients with connective tissue disease (e.g., Ehlers-Danlos syndrome), pseudotumor cerebri, or basilar invagination were excluded in addition to patients undergoing reoperation procedures. Baseline Presentation Characteristics Data on demographic, clinical, and imaging variables were retrieved from electronic patient records. Age was recorded at