Craniocervical cerebellar contusion in a child with Chiari malformation

The MRI revealed a type I Chiari malformation with moderate cerebellar ectopia, contusions and hemorrhagic changes in the right flocculus and right cerebellar tonsil with obliteration of the cerebrospinal fluid spaces around the foramen magnum [Figure 1]a.{Figure 1} The patient's sedation was weaned and her neurological status assessed. At clinic follow-up 10 weeks after the accident she remained neurologically intact and asymptomatic with radiological improvement in her cerebellar contusions and craniocervical junction cerebrospinal fluid flow.