title: Type I Chiari malformation presenting with laryngomalacia and dysphagia.
abstract: We describe clinical features of an infant with laryngomalacia and dysphagia caused by type I Chiari malformation (CM-I). A 12-month-old child presented with a 6 month history of progressive stridor, dysphagia, and gastroesophageal reflux. Examination of the airway and swallowing function indicated mild laryngomalacia and aspiration with all consistencies. Magnetic resonance imaging of the brain indicated CM-I. Symptoms were resolved after posterior fossa decompression. CM-I, typically diagnosed later in life, should be considered in the differential diagnosis of laryngomalacia and dysphagia. High clinical suspicion and thorough search for abnormalities ensure early diagnosis and proper management of children with neurologic variant laryngomalacia.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center.
authors.forename: Christopher
authors.initials: C
authors.lastname: Liu
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center.|Children's Medical Center, Dallas, Texas, USA.
authors.forename: Seckin O
authors.initials: SO
authors.lastname: Ulualp
mesh_terms: D001139:Arnold-Chiari Malformation / Q000175:diagnosis* / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D055092:Laryngomalacia / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging
keywords: dysphagia; infant; laryngomalacia; stridor; type I Chiari malformation