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Chiari malformation and sleep-disordered breathing: a review of diagnostic and management issues.
Sleep. 2000 Aug 01; 23(5):637-43.S

Abstract

Chiari 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.

Authors+Show Affiliations

Division of Pulmonary, Allergy Critical Care and Sleep Medicine, University of Pittsburgh School of Medicine, PA 15213, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10947031

Citation

Zolty, P, et al. "Chiari Malformation and Sleep-disordered Breathing: a Review of Diagnostic and Management Issues." Sleep, vol. 23, no. 5, 2000, pp. 637-43.
Zolty P, Sanders MH, Pollack IF. Chiari malformation and sleep-disordered breathing: a review of diagnostic and management issues. Sleep. 2000;23(5):637-43.
Zolty, P., Sanders, M. H., & Pollack, I. F. (2000). Chiari malformation and sleep-disordered breathing: a review of diagnostic and management issues. Sleep, 23(5), 637-43.
Zolty P, Sanders MH, Pollack IF. Chiari Malformation and Sleep-disordered Breathing: a Review of Diagnostic and Management Issues. Sleep. 2000 Aug 1;23(5):637-43. PubMed PMID: 10947031.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chiari malformation and sleep-disordered breathing: a review of diagnostic and management issues. AU - Zolty,P, AU - Sanders,M H, AU - Pollack,I F, PY - 2000/8/18/pubmed PY - 2001/2/28/medline PY - 2000/8/18/entrez SP - 637 EP - 43 JF - Sleep JO - Sleep VL - 23 IS - 5 N2 - Chiari 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. SN - 0161-8105 UR - https://www.unboundmedicine.com/medline/citation/10947031/Chiari_malformation_and_sleep_disordered_breathing:_a_review_of_diagnostic_and_management_issues_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=10947031.ui DB - PRIME DP - Unbound Medicine ER -