title: [Acute bulbar palsy due to myelomeningocele and Chiari II malformation].
abstract: We describe a case of a 10-year-old girl with myelomeningocele and type II Chiari malformation. She presented with an acute bulbar palsy requiring mechanical ventilation. Surgical decompression of the brainstem was performed and, because of a phrenic nerve palsy, surgical plication of the right diaphragm was also required. The patient s evolution was favourable. We discuss the various forms of clinical presentation of this pathology as well as its management. The importance of early diagnosis and surgical correction are also stressed as a key factor for favourable evolution.
authors.affiliation: Servicio de Críticos y Urgencias Pediátricas, Departamento de Pediatría, Hospital Universitario Reina Sofía, Córdoba. ucip@arrakis.ed
authors.forename: E
authors.initials: E
authors.lastname: Ulloa Santamaría
authors.forename: V
authors.initials: V
authors.lastname: Cifuentes Sabio
authors.forename: I
authors.initials: I
authors.lastname: Ibarra de la Rosa
authors.forename: M J
authors.initials: MJ
authors.lastname: Velasco Jabalquinto
authors.forename: M
authors.initials: M
authors.lastname: Frías Pérez
authors.forename: C
authors.initials: C
authors.lastname: Montero Schiemann
authors.forename: J L
authors.initials: JL
authors.lastname: Pérez Navero
mesh_terms: D000208:Acute Disease; D001139:Arnold-Chiari Malformation / Q000150:complications*; D010244:Bulbar Palsy, Progressive / Q000209:etiology*; D002648:Child; D005260:Female; D006801:Humans; D008591:Meningomyelocele / Q000150:complications*