Development of symptomatic chiari malformation in a child with craniofacial dysmorphism

David M. Frim, Dwight T Jones, Liliana Goumnerova

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

We present the case of a 28-month-old child with craniofacial anomalies who presented for evaluation of apnea. The patient had associated symptoms referable to a Chiari malformation and MR1 scanning of the head and cervical spine revealed some, but not all. of the anatomical features classically associated with the Chiari II malformation. The child has mid-face hypoplasia and it appeared that his posterior fossa hypertension was partially caused by anterior compression of the brain stem as a result of the malformation at the base of the skull. The patient responded dramatically to posterior fossa decompression. Evidence from this and other cases from the literature suggests that different pathophysiological mechanisms may cause the classic Chiari malformation and/or other anatomical abnormalities in the continuum between Chiari I and II.

Original languageEnglish (US)
Pages (from-to)228-231
Number of pages4
JournalPediatric Neurosurgery
Volume16
Issue number4-5
DOIs
StatePublished - Jan 1 1990

Fingerprint

Skull Base
Apnea
Decompression
Brain Stem
Spine
Head
Hypertension

Keywords

  • Chiari malformation
  • Craniofacial dysmorphism

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

Cite this

Development of symptomatic chiari malformation in a child with craniofacial dysmorphism. / Frim, David M.; Jones, Dwight T; Goumnerova, Liliana.

In: Pediatric Neurosurgery, Vol. 16, No. 4-5, 01.01.1990, p. 228-231.

Research output: Contribution to journalArticle

Frim, David M. ; Jones, Dwight T ; Goumnerova, Liliana. / Development of symptomatic chiari malformation in a child with craniofacial dysmorphism. In: Pediatric Neurosurgery. 1990 ; Vol. 16, No. 4-5. pp. 228-231.
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