Chiari I Malformation Associated with Atlanto-Occipital Assimilation Presenting as Orthopnea and Cough Syncope: A Case Report and Review of Literature
Abstract Although it is not uncommon for patients with Chiari I malformations to present with respiratory complaints, cough syncope is a rare presenting symptom. We report an adult patient who harbored both a Chiari I malformation and atlanto-occipital assimilation who complained of cough syncope, o...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2014-08-01
|
| Series: | Journal of Neurological Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1348953 |
| _version_ | 1818237672157609984 |
|---|---|
| author | Erwin Zeta Mangubat Tom Wilson Brian A. Mitchell Richard W. Byrne |
| author_facet | Erwin Zeta Mangubat Tom Wilson Brian A. Mitchell Richard W. Byrne |
| author_sort | Erwin Zeta Mangubat |
| collection | DOAJ |
| description | Abstract
Although it is not uncommon for patients with Chiari I malformations to present with respiratory complaints, cough syncope is a rare presenting symptom. We report an adult patient who harbored both a Chiari I malformation and atlanto-occipital assimilation who complained of cough syncope, orthopnea, and central sleep apnea. The patient underwent decompressive craniectomy of the posterior fossa and cervical level 2 laminectomy. However, due to a possible initial underappreciation of the profound narrowing of the foramen magnum as a result of these concomitant pathologies, the patient may have had continued impaired cerebrospinal fluid flow, leading to a symptomatic pseudomeningocele and requiring a more extensive decompression that included a cervical level 3 laminectomy as well as a temporary lumbar drain. On 2-year follow-up, he has remained asymptomatic. |
| first_indexed | 2024-12-12T12:29:29Z |
| format | Article |
| id | doaj.art-207e5e29d90b4604b523fc46dbaa8217 |
| institution | Directory Open Access Journal |
| issn | 2193-6358 2193-6366 |
| language | English |
| last_indexed | 2024-12-12T12:29:29Z |
| publishDate | 2014-08-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Neurological Surgery Reports |
| spelling | doaj.art-207e5e29d90b4604b523fc46dbaa82172022-12-22T00:24:28ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662014-08-017501e1e410.1055/s-0033-1348953Chiari I Malformation Associated with Atlanto-Occipital Assimilation Presenting as Orthopnea and Cough Syncope: A Case Report and Review of LiteratureErwin Zeta Mangubat0Tom Wilson1Brian A. Mitchell2Richard W. Byrne3Department of Neurosurgery, Rush Professional Office Building, Chicago, Illinois, United StatesDepartment of Neurosurgery, Rush Professional Office Building, Chicago, Illinois, United StatesDepartment of Neurosurgery, Rush Professional Office Building, Chicago, Illinois, United StatesDepartment of Neurosurgery, Rush Professional Office Building, Chicago, Illinois, United StatesAbstract Although it is not uncommon for patients with Chiari I malformations to present with respiratory complaints, cough syncope is a rare presenting symptom. We report an adult patient who harbored both a Chiari I malformation and atlanto-occipital assimilation who complained of cough syncope, orthopnea, and central sleep apnea. The patient underwent decompressive craniectomy of the posterior fossa and cervical level 2 laminectomy. However, due to a possible initial underappreciation of the profound narrowing of the foramen magnum as a result of these concomitant pathologies, the patient may have had continued impaired cerebrospinal fluid flow, leading to a symptomatic pseudomeningocele and requiring a more extensive decompression that included a cervical level 3 laminectomy as well as a temporary lumbar drain. On 2-year follow-up, he has remained asymptomatic.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1348953chiari i malformationatlanto-occipital assimilationcough syncopeorthopneacentral sleep apnea |
| spellingShingle | Erwin Zeta Mangubat Tom Wilson Brian A. Mitchell Richard W. Byrne Chiari I Malformation Associated with Atlanto-Occipital Assimilation Presenting as Orthopnea and Cough Syncope: A Case Report and Review of Literature Journal of Neurological Surgery Reports chiari i malformation atlanto-occipital assimilation cough syncope orthopnea central sleep apnea |
| title | Chiari I Malformation Associated with Atlanto-Occipital Assimilation Presenting as Orthopnea and Cough Syncope: A Case Report and Review of Literature |
| title_full | Chiari I Malformation Associated with Atlanto-Occipital Assimilation Presenting as Orthopnea and Cough Syncope: A Case Report and Review of Literature |
| title_fullStr | Chiari I Malformation Associated with Atlanto-Occipital Assimilation Presenting as Orthopnea and Cough Syncope: A Case Report and Review of Literature |
| title_full_unstemmed | Chiari I Malformation Associated with Atlanto-Occipital Assimilation Presenting as Orthopnea and Cough Syncope: A Case Report and Review of Literature |
| title_short | Chiari I Malformation Associated with Atlanto-Occipital Assimilation Presenting as Orthopnea and Cough Syncope: A Case Report and Review of Literature |
| title_sort | chiari i malformation associated with atlanto occipital assimilation presenting as orthopnea and cough syncope a case report and review of literature |
| topic | chiari i malformation atlanto-occipital assimilation cough syncope orthopnea central sleep apnea |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1348953 |
| work_keys_str_mv | AT erwinzetamangubat chiariimalformationassociatedwithatlantooccipitalassimilationpresentingasorthopneaandcoughsyncopeacasereportandreviewofliterature AT tomwilson chiariimalformationassociatedwithatlantooccipitalassimilationpresentingasorthopneaandcoughsyncopeacasereportandreviewofliterature AT brianamitchell chiariimalformationassociatedwithatlantooccipitalassimilationpresentingasorthopneaandcoughsyncopeacasereportandreviewofliterature AT richardwbyrne chiariimalformationassociatedwithatlantooccipitalassimilationpresentingasorthopneaandcoughsyncopeacasereportandreviewofliterature |