Sleep apnea syndrome associated with a type I Chiari malformation

We report a 1-year-old girl with a type I Chiari malformation who presented with sleep apnea syndrome. Our patient experienced a change in characteristics of sleep apnea from obstructive to central after adenoidectomy was performed under general anesthesia. The patient also developed dysphagia, whic...

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Bibliographic Details
Published in:Brain & development (Tokyo. 1979) 2002-01, Vol.24 (1), p.49-51
Main Authors: Yoshimi, Ayami, Nomura, Kazushi, Furune, Sunao
Format: Article
Language:English
Subjects:
Adenoidectomy
Arnold-Chiari Malformation - complications
Biological and medical sciences
Deglutition Disorders - complications
Dysphagia
Female
Humans
Infant
Magnetic Resonance Imaging
Malformations of the nervous system
Medical sciences
Neurology
Polysomnography
Sleep apnea syndrome
Sleep Apnea Syndromes - complications
Sleep Apnea Syndromes - diagnosis
Sleep Apnea Syndromes - surgery
Type-I Chiari malformation
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Description
Summary:We report a 1-year-old girl with a type I Chiari malformation who presented with sleep apnea syndrome. Our patient experienced a change in characteristics of sleep apnea from obstructive to central after adenoidectomy was performed under general anesthesia. The patient also developed dysphagia, which worsened after adenoidectomy. Both disorders greatly diminished after posterior fossa decompression. Our results suggest that type I Chiari malformation should be considered in children with sleep apnea syndrome even when obstructive characteristics predominate. When the malformation is present, timely surgery can prevent irreversible neurologic damage.
ISSN:0387-7604
1872-7131
DOI:10.1016/S0387-7604(01)00383-7