Type I Chiari malformation presenting central sleep apnea
Abstract Sleep apnea is a rare but a well-known clinical feature of type I Chiari malformation. It may be obstructive or central in nature. Sleep apnea in patients with type I Chiari malformation rarely presents without accompanying neurological signs or symptoms. We here report a case of a 10-year-...
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| Veröffentlicht in: | Auris, nasus, larynx nasus, larynx, 2014-04, Vol.41 (2), p.222-224 |
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| container_title | Auris, nasus, larynx |
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| creator | Kitamura, Takuro Miyazaki, Soichiro Kadotani, Hiroshi Kanemura, Takashi Okawa, Masako Tanaka, Toshihiko Komada, Ichiro Hatano, Taketo Suzuki, Hideaki |
| description | Abstract Sleep apnea is a rare but a well-known clinical feature of type I Chiari malformation. It may be obstructive or central in nature. Sleep apnea in patients with type I Chiari malformation rarely presents without accompanying neurological signs or symptoms. We here report a case of a 10-year-old girl who presented with central sleep apnea without any other neurological signs but was ultimately diagnosed with type I Chiari malformation. The patient initially showed mild improvement in symptoms after administration of an acetazolamide. Finally, posterior fossa decompression dramatically improved her respiratory status during sleep, both clinically and on polysomnography. This case suggests that type I Chiari malformation should be considered in the differential diagnoses of central apneas in children, even if there are no other neurological signs and symptoms. Furthermore, sagittal craniocervical magnetic resonance imaging may be necessary for a definitive diagnosis. |
| doi_str_mv | 10.1016/j.anl.2013.07.011 |
| format | Article |
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It may be obstructive or central in nature. Sleep apnea in patients with type I Chiari malformation rarely presents without accompanying neurological signs or symptoms. We here report a case of a 10-year-old girl who presented with central sleep apnea without any other neurological signs but was ultimately diagnosed with type I Chiari malformation. The patient initially showed mild improvement in symptoms after administration of an acetazolamide. Finally, posterior fossa decompression dramatically improved her respiratory status during sleep, both clinically and on polysomnography. This case suggests that type I Chiari malformation should be considered in the differential diagnoses of central apneas in children, even if there are no other neurological signs and symptoms. Furthermore, sagittal craniocervical magnetic resonance imaging may be necessary for a definitive diagnosis.</description><identifier>ISSN: 0385-8146</identifier><identifier>EISSN: 1879-1476</identifier><identifier>DOI: 10.1016/j.anl.2013.07.011</identifier><identifier>PMID: 24161709</identifier><language>eng</language><publisher>Netherlands: Elsevier Ireland Ltd</publisher><subject>Acetazolamide ; Acetazolamide - therapeutic use ; Arnold-Chiari Malformation - complications ; Arnold-Chiari Malformation - diagnosis ; Arnold-Chiari Malformation - therapy ; Carbonic Anhydrase Inhibitors - therapeutic use ; Central sleep apnea ; Child ; Children ; Decompression, Surgical - methods ; Female ; Humans ; Magnetic Resonance Imaging ; Otolaryngology ; Polysomnography ; Sleep Apnea, Central - diagnosis ; Sleep Apnea, Central - etiology ; Sleep Apnea, Central - therapy ; Type I Chiari malformation</subject><ispartof>Auris, nasus, larynx, 2014-04, Vol.41 (2), p.222-224</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2013 Elsevier Ireland Ltd</rights><rights>Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-78d0a79f8cee0e8862c9b150b49807fb8e312ec561fb1d0d647e7013148382cd3</citedby><cites>FETCH-LOGICAL-c432t-78d0a79f8cee0e8862c9b150b49807fb8e312ec561fb1d0d647e7013148382cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S038581461300179X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24161709$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kitamura, Takuro</creatorcontrib><creatorcontrib>Miyazaki, Soichiro</creatorcontrib><creatorcontrib>Kadotani, Hiroshi</creatorcontrib><creatorcontrib>Kanemura, Takashi</creatorcontrib><creatorcontrib>Okawa, Masako</creatorcontrib><creatorcontrib>Tanaka, Toshihiko</creatorcontrib><creatorcontrib>Komada, Ichiro</creatorcontrib><creatorcontrib>Hatano, Taketo</creatorcontrib><creatorcontrib>Suzuki, Hideaki</creatorcontrib><title>Type I Chiari malformation presenting central sleep apnea</title><title>Auris, nasus, larynx</title><addtitle>Auris Nasus Larynx</addtitle><description>Abstract Sleep apnea is a rare but a well-known clinical feature of type I Chiari malformation. It may be obstructive or central in nature. Sleep apnea in patients with type I Chiari malformation rarely presents without accompanying neurological signs or symptoms. We here report a case of a 10-year-old girl who presented with central sleep apnea without any other neurological signs but was ultimately diagnosed with type I Chiari malformation. The patient initially showed mild improvement in symptoms after administration of an acetazolamide. Finally, posterior fossa decompression dramatically improved her respiratory status during sleep, both clinically and on polysomnography. This case suggests that type I Chiari malformation should be considered in the differential diagnoses of central apneas in children, even if there are no other neurological signs and symptoms. Furthermore, sagittal craniocervical magnetic resonance imaging may be necessary for a definitive diagnosis.</description><subject>Acetazolamide</subject><subject>Acetazolamide - therapeutic use</subject><subject>Arnold-Chiari Malformation - complications</subject><subject>Arnold-Chiari Malformation - diagnosis</subject><subject>Arnold-Chiari Malformation - therapy</subject><subject>Carbonic Anhydrase Inhibitors - therapeutic use</subject><subject>Central sleep apnea</subject><subject>Child</subject><subject>Children</subject><subject>Decompression, Surgical - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Otolaryngology</subject><subject>Polysomnography</subject><subject>Sleep Apnea, Central - diagnosis</subject><subject>Sleep Apnea, Central - etiology</subject><subject>Sleep Apnea, Central - therapy</subject><subject>Type I Chiari malformation</subject><issn>0385-8146</issn><issn>1879-1476</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-L1EAUxBtR3HH1A3iRHL0kvpfO9B8EQQZ3XVjYgyt4azqdF-2x04ndGWG-vT3M6sHDnupSVVC_Yuw1QoOA4t2-sTE0LSBvQDaA-IRtUEldYyfFU7YBrra1wk5csBc57wGAS66fs4u2Q4ES9Ibp--NC1U21--Ft8tVkwzinya5-jtWSKFNcffxeuaLJhioHoqWySyT7kj0bbcj06kEv2derT_e7z_Xt3fXN7uNt7TrerrVUA1ipR-WIgJQSrdM9bqHvtAI59oo4tuS2AsceBxhEJ0mWRdgprlo38Ev29ty7pPnXgfJqJp8dhWAjzYdsShcI3YLAYsWz1aU550SjWZKfbDoaBHMiZvamEDMnYgakKcRK5s1D_aGfaPiX-IuoGN6fDVRG_vaUTHaeoqPBJ3KrGWb_aP2H_9Iu-OidDT_pSHk_H1Is9Aya3BowX06XnR5DDoBSf-N_ALpejyM</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Kitamura, Takuro</creator><creator>Miyazaki, Soichiro</creator><creator>Kadotani, Hiroshi</creator><creator>Kanemura, Takashi</creator><creator>Okawa, Masako</creator><creator>Tanaka, Toshihiko</creator><creator>Komada, Ichiro</creator><creator>Hatano, Taketo</creator><creator>Suzuki, Hideaki</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Type I Chiari malformation presenting central sleep apnea</title><author>Kitamura, Takuro ; Miyazaki, Soichiro ; Kadotani, Hiroshi ; Kanemura, Takashi ; Okawa, Masako ; Tanaka, Toshihiko ; Komada, Ichiro ; Hatano, Taketo ; Suzuki, Hideaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-78d0a79f8cee0e8862c9b150b49807fb8e312ec561fb1d0d647e7013148382cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acetazolamide</topic><topic>Acetazolamide - therapeutic use</topic><topic>Arnold-Chiari Malformation - complications</topic><topic>Arnold-Chiari Malformation - diagnosis</topic><topic>Arnold-Chiari Malformation - therapy</topic><topic>Carbonic Anhydrase Inhibitors - therapeutic use</topic><topic>Central sleep apnea</topic><topic>Child</topic><topic>Children</topic><topic>Decompression, Surgical - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Otolaryngology</topic><topic>Polysomnography</topic><topic>Sleep Apnea, Central - diagnosis</topic><topic>Sleep Apnea, Central - etiology</topic><topic>Sleep Apnea, Central - therapy</topic><topic>Type I Chiari malformation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kitamura, Takuro</creatorcontrib><creatorcontrib>Miyazaki, Soichiro</creatorcontrib><creatorcontrib>Kadotani, Hiroshi</creatorcontrib><creatorcontrib>Kanemura, Takashi</creatorcontrib><creatorcontrib>Okawa, Masako</creatorcontrib><creatorcontrib>Tanaka, Toshihiko</creatorcontrib><creatorcontrib>Komada, Ichiro</creatorcontrib><creatorcontrib>Hatano, Taketo</creatorcontrib><creatorcontrib>Suzuki, Hideaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Auris, nasus, larynx</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kitamura, Takuro</au><au>Miyazaki, Soichiro</au><au>Kadotani, Hiroshi</au><au>Kanemura, Takashi</au><au>Okawa, Masako</au><au>Tanaka, Toshihiko</au><au>Komada, Ichiro</au><au>Hatano, Taketo</au><au>Suzuki, Hideaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Type I Chiari malformation presenting central sleep apnea</atitle><jtitle>Auris, nasus, larynx</jtitle><addtitle>Auris Nasus Larynx</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>41</volume><issue>2</issue><spage>222</spage><epage>224</epage><pages>222-224</pages><issn>0385-8146</issn><eissn>1879-1476</eissn><abstract>Abstract Sleep apnea is a rare but a well-known clinical feature of type I Chiari malformation. It may be obstructive or central in nature. Sleep apnea in patients with type I Chiari malformation rarely presents without accompanying neurological signs or symptoms. We here report a case of a 10-year-old girl who presented with central sleep apnea without any other neurological signs but was ultimately diagnosed with type I Chiari malformation. The patient initially showed mild improvement in symptoms after administration of an acetazolamide. Finally, posterior fossa decompression dramatically improved her respiratory status during sleep, both clinically and on polysomnography. This case suggests that type I Chiari malformation should be considered in the differential diagnoses of central apneas in children, even if there are no other neurological signs and symptoms. 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| subjects | Acetazolamide Acetazolamide - therapeutic use Arnold-Chiari Malformation - complications Arnold-Chiari Malformation - diagnosis Arnold-Chiari Malformation - therapy Carbonic Anhydrase Inhibitors - therapeutic use Central sleep apnea Child Children Decompression, Surgical - methods Female Humans Magnetic Resonance Imaging Otolaryngology Polysomnography Sleep Apnea, Central - diagnosis Sleep Apnea, Central - etiology Sleep Apnea, Central - therapy Type I Chiari malformation |
| title | Type I Chiari malformation presenting central sleep apnea |
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