An unusual presentation of Chiari i malformation

Capi Seeger Scheidler, Meredith R. Golomb

Research output: Contribution to journalArticle

Abstract

The most typical symptom of Chiari malformation type I in children is headache. The authors describe a 14-year-old girl who presented with a 3-year history of gait decline and no headache, which is very unusual. After surgery to correct the Chiari I malformation, the patient's gait improved; however, she went on to develop decreased hand use with joint deformities. She was diagnosed with a probable connective tissue disorder. Patients with connective tissue disorders are at increased risk for developing Chiari I malformation. The authors discuss the possible reasons for the unusual presentation of the Chiari I malformation and possible mechanisms. The unusual presentation of Chiari I delayed this young patient's diagnosis and treatment.

Original languageEnglish (US)
Pages (from-to)1527-1530
Number of pages4
JournalJournal of Child Neurology
Volume28
Issue number11
DOIs
StatePublished - Nov 1 2013

Keywords

  • atrophic scarring
  • connective tissue disorder
  • foot
  • gait
  • hand
  • headache
  • joint
  • pediatric

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

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