Received: 20 April 2000
Revised: 27 September 2000
Published online: 22 February 2001
© Springer-Verlag 2001
Abstract Our study was conducted
to compare structural changes of
brain exposed to 500 mg/kg valproic
acid sodium (VA) at 10 days of ges-
tation and 2×600 mg/kg VA at 9 days
of gestation for Chiari-like malfor-
mation (CLM). Brains, each still in
the cranium, were placed under the
dissecting microscope in such a way
that the midsagittal surface for angu-
lar morphology was seen, and video
images were recorded for both study
groups. Distances and angles in
each brain were then measured on
video image photographs both manu-
ally and by means of a computer.
The vertebral arch distances follow-
ing exposure to 500 mg/kg VA at
10 days of gestation were measured.
VA on day 9 of gestation group was
not followed by significantly differ-
ent angular morphology or point-
to-point distances from those in fe-
tuses exposed to saline. In contrast,
the angle formed between the frontal
pole and cerebellum at the pons is
more -acute in animals treated with
VA 500 mg/kg on day 10 of gesta-
tion than in controls, but the distanc-
es were not reduced. However, the
group exposed to VA 500 mg/kg on
day 10 of gestation appeared to have
sustained only minimal effects on
the vertebral arch distances; specifi-
cally, spina bifida aperta was not
produced in this group. These ana-
lyses may indicate that the anterior
neural tube is more sensitive to the
mechanism of action by which VA
produces neural tube defects (NTDs)
than is the posterior neural tube.
Also, we can conclude that in these
rat models, experimental CLM does
not correspond to the Chiari malfor-
mation (CM) type 2. An animal
model has its own species specificity
and teratogenic environment, and the
embryopathogenesis of NTD in the
experimental animal model may not
be directly applicable to the human
condition.
Keywords Neural tube defect ·
Chiari malformation · Valproic acid
Child’s Nerv Syst (2001) 17:399–404
DOI 10.1007/s003810000417 ORIGINAL PAPER
Soner Duru
Süreyya Ceylan
Savas Ceylan
Comparative effects of valproic acid sodium
for Chiari-like malformation at 9
and 10 days of gestation in the rat
Introduction
Herniations of the rhombencephalon or hindbrain
through the foramen magnum were first categorized in
1891 by Chiari [11], who described four types of patho-
logic changes. These were later termed the Chiari mal-
formations (CM). CM type 2 is sometimes referred to as
the Arnold-Chiari malformation, giving credit to Arnold
for a single description in 1894 following an autopsy
[11]. A more appropriate term is simply CM type 2.
CM type 2 is a complex disorder that encompasses
anomalies of virtually the entire neuraxis, to a variable ex-
tent. Most prominent among these are caudal displacement
of the cerebellar vermis and tonsils into the cervical canal;
elongation, kinking, and caudal displacement of the lower
brain stem below the foramen magnum; upward displace-
ment of the superior cerebellum through a dysplastic, low-
lying tentorial incisura; and small posterior fossa [15].
CM type 2 lesions are almost always associated with
spina bifida aperta or meningomyelocele [15]. Transi-
S. Duru (
✉
)
Department of Neurosurgery,
Kocaeli University Medical Faculty,
41900 Kocaeli, Turkey
e-mail: dsoner@superonline.com
Tel.: +90-262-3112838
Fax: +90-262-2335463
S. Ceylan
Department of Histology and Embryology,
Kocaeli University Medical Faculty,
41900 Kocaeli, Turkey
S. Ceylan
Department of Neurosurgery,
Kocaeli University Medical Faculty,
41900 Kocaeli, Turkey
S. Duru
Kocaeli Universitesi Tip Fakultesi,
Norosirurji Anabilim Dali, Derince,
41900 Kocaeli, Turkey