Arnold-Chiari malformation type I and sleep-disordered breathing: An uncommon manifestation of an important pediatric problem

2003 ◽  
Vol 17 (4) ◽  
pp. 190-197 ◽  
Author(s):  
Marjorie L. Hershberger ◽  
Aaron Chidekel
2013 ◽  
Vol 09 (04) ◽  
pp. 371-377 ◽  
Author(s):  
Anna Losurdo ◽  
Serena Dittoni ◽  
Elisa Testani ◽  
Chiara Di Blasi ◽  
Emanuele Scarano ◽  
...  

2013 ◽  
Vol 8 ◽  
Author(s):  
Raffaele Campisi ◽  
Nicola Ciancio ◽  
Laura Bivona ◽  
Annalisa Di Maria ◽  
Giuseppe Di Maria

Arnold Chiari Malformation (ACM) is defined as a condition where part of the cerebellar tissue herniates into the cervical canal toward the medulla and spinal cord resulting in a number of clinical manifestations. Type I ACM consists of variable displacement of the medulla throughout the formamen magnum into the cervical canal, with prominent cerebellar herniation. Type I ACM is characterized by symptoms related to the compression of craniovertebral junction, including ataxia, dysphagia, nistagmus, headache, dizziness, and sleep disordered breathing. We report a case of a life-long nonsmoker, 54 years old woman who presented these symptoms associated with bronchiectasis secondary to recurrent inhalation pneumonia, hypercapnic respiratory failure, and central sleep apnea (CSA). CSA was first unsuccessfully treated with nocturnal c-PAP. The subsequent treatment with low flow oxygen led to breathing pattern stabilization with resolution of CSA and related clinical symptoms during sleep. We suggest that in patients with type I ACM the presence of pulmonary manifestations aggravating other respiratory disturbances including sleep disordered breathing (SDB) should be actively investigated. The early diagnosis is desirable in order to avoid serious and/or poorly reversible damages.


1998 ◽  
Vol 21 (4) ◽  
pp. 279
Author(s):  
Eun Jong Kim ◽  
Myung Shin Kim ◽  
Ju Young Lee ◽  
Jin Won Whang ◽  
Tae Sik Yoon

2007 ◽  
Vol 74 (4) ◽  
pp. 412-415 ◽  
Author(s):  
M. L. Kulkarni ◽  
S. N. Marakkanavar ◽  
S. Sushanth ◽  
N. Pradeep ◽  
C. Ashok ◽  
...  

2013 ◽  
Vol 17 (4) ◽  
pp. 259-263 ◽  
Author(s):  
Bahadir Bakim ◽  
Burcu Goksan Yavuz ◽  
Adem Yilmaz ◽  
Oguz Karamustafalioglu ◽  
Meral Akbiyik ◽  
...  

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