title: [Chiari type I malformation in a patient with Poland's syndrome].
abstract: Chiari malformation type I and Poland's syndrome are two rare diseases and their simultaneous presentation had not been previously described in the literature. We report the case of a 27 year old male with history of Poland's syndrome, who referred headache and motor impairment of the intrinsic muscles of the left hand. In a cervical spine MR a Chiari I malformation with syringomyelia from C1 to T2 was found, which was treated by foramen magnum decompression, dural plasty and removal of the posterior arch of the atlas. A discussion of the embryological mechanisms that might be involved in the coexistence of these two entities is presented, emphasizing the role of para-axial mesoderm.
authors.affiliation: Sección de Neurocirugía, Universidad de Cartagena, Hospital Universitario del Caribe, Cartagena de Indias, Colombia.
authors.forename: Nombre
authors.initials: N
authors.lastname: Apellido
authors.forename: G
authors.initials: G
authors.lastname: Alcalá-Cerra
authors.forename: R
authors.initials: R
authors.lastname: Sabogal-Barrios
authors.forename: L M
authors.initials: LM
authors.lastname: Niño-Hernández
authors.forename: J J
authors.initials: JJ
authors.lastname: Gutiérrez-Paternina
authors.forename: L R
authors.initials: LR
authors.lastname: Moscote-Salazar
authors.forename: E
authors.initials: E
authors.lastname: Preciado-Mesa
mesh_terms: D000328:Adult; D001139:Arnold-Chiari Malformation / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D015897:Comorbidity; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011045:Poland Syndrome / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery