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Case Reports
Chiari malformation and sleep-disordered breathing: a review of diagnostic and management issues.
- P Zolty, M H Sanders, and I F Pollack.
- Division of Pulmonary, Allergy Critical Care and Sleep Medicine, University of Pittsburgh School of Medicine, PA 15213, USA.
- Sleep. 2000 Aug 1; 23 (5): 637-43.
AbstractChiari Malformation (CM) encompasses several patterns of congenital or acquired cerebellar herniation through the foramen magnum. This may result in brain-stem compression that impacts control of breathing and is associated with obstructive and central apneas. A high clinical suspicion for sleep-disordered breathing is needed in the care of such patients after as well as before corrective surgery. To introduce a review of CM with a focus on the relevance to sleep medicine, we present a case of a 13-year-old female who was diagnosed with CM Type 1 in the course of an evaluation of symptomatic central sleep apnea. After initial improvement following surgery there was recurrence of brain-stem compression. The only clinical expression of which was polysomnographically evident recurrence of sleep apnea.
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