Chiari Malformation Type I: Dysphagia and Glossopharyngeal Neuralgia. A Case Report

Introduction: Chiari Malformation Type I (CM-I) involves the descent of the cerebellar tonsils 5 mm through the foramen magnum. This case report discusses a patient with dysphagia and glossopharyngeal neuralgia as unusual symptoms of CM-I. Case Presentation: A 59-year-old Afro-Colombian housewife pr...

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Bibliographic Details
Published in:Iatreia (Medellín, Colombia) Colombia), 2024-10, Vol.37 (4), p.549-555
Main Authors: Julián Vicente Munar-Medina, David López-Valencia, Beatriz Elena Candela-Solano
Format: Article
Language:Spanish
Subjects:
arnold-chiari malformation
colombia
deglutition disorders
dysphagia
glossopharyngeal nerve diseases
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Summary:Introduction: Chiari Malformation Type I (CM-I) involves the descent of the cerebellar tonsils 5 mm through the foramen magnum. This case report discusses a patient with dysphagia and glossopharyngeal neuralgia as unusual symptoms of CM-I. Case Presentation: A 59-year-old Afro-Colombian housewife presented with a clinical picture that began three years ago with dysphagia for solids and liquids, coughing when swallowing, recurrent cervical pain, and xerostomia. A neurological examination revealed deviation of the uvula to the right and absence of the gag reflex. A cerebral nuclear magnetic resonance (NMR) was performed, showing the descent of the cerebellar tonsils through the foramen magnum, compressing the medulla oblongata. CM-I was diagnosed, and the anomaly was corrected. The patient reported complete improvement of dysphagia and associated symptoms. Conclusions: CM-I poses a diagnostic challenge when presenting with dysphagia and glossopharyngeal neuralgia; however, timely diagnosis defines its proper management and prognosis.
ISSN:0121-0793
2011-7965
DOI:10.17533/udea.iatreia.263