title: [The acute tetraparesis as a rare presentation of Chiari malformation].
abstract: The authors present a case-report of a 25-year-old patient who developed symptoms of transversal injury of the spine. The patient was followed-up for 2 years and had a stable course of Chiari malformation I and syringomyelia. Motor disorders and deep sensory disorders developed without external cause and continued to increase during 2.5 weeks with the further development of pelvic disorders. After the urgent cranial/vertebral decompression with the plastics of the dura mater by a fragment of a wide fascia of the thigh, there was an increase in muscle power (with the complete recovery in hands), regress of deep sensory disorders in hands and pelvic disorders. A literature review on case-reports of acute neurological symptoms in Chiari malformation I and syringomyelia in presented.
authors.affiliation: Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: G Yu
authors.initials: GY
authors.lastname: Evzikov
authors.affiliation: Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: M A
authors.initials: MA
authors.lastname: Ivanova
authors.affiliation: Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: V A
authors.initials: VA
authors.lastname: Parfenov
authors.affiliation: Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: O A
authors.initials: OA
authors.lastname: Solokha
authors.affiliation: Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: E V
authors.initials: EV
authors.lastname: Shashkova
mesh_terms: D000328:Adult; D001139:Arnold-Chiari Malformation / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D019299:Decompression, Surgical; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D000068079:Motor Disorders / Q000175:diagnosis; D013131:Spine / Q000000981:diagnostic imaging; D013238:Stereotaxic Techniques; D013595:Syringomyelia / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery