Chiari I malformation with quadriplegia and respiratory disturbance in an infant.
Chiari I malformation consists of variable downward displacement of the cerebellar tonsils. Quadriplegia, respiratory disturbance and pain are common in Chiari I malformation in adults. However, there are no reports of this syndrome in early childhood. We report the case of a 9-month-old girl with Chiari I malformation who had quadriplegia with muscle weakness and who developed respiratory disturbance as an early symptom. The causes of the symptoms of Chiari I malformation are discussed. The use of MRI is proposed as a more useful diagnostic technique than myelography for these patients since MRI is less likely to aggravate the respiratory disturbance.
Itoh
N
N
Department of Pediatrics, Osaka University Medical School, Japan.
Mimaki
T
T
Tagawa
T
T
Sugita
T
T
Yabuuchi
H
H
Ushio
Y
Y
D000367:Age Factors; D001139:Arnold-Chiari Malformation / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D011782:Quadriplegia / Q000209:etiology*; D012120:Respiration Disorders / Q000209:etiology*