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Arnold-Chiari malformation type I and sleep-disordered breathing: an uncommon manifestation of an important pediatric problem.
J Pediatr Health Care. 2003 Jul-Aug; 17(4):190-7.JP

Abstract

A case review of a healthy 3-year-old toddler with a chief complaint of sleep-disordered breathing is presented. The child underwent a pneumogram sleep study with significant abnormal findings. Magnetic resonance imaging led to a diagnosis of Arnold-Chiari type I malformation and the need for posterior fossa decompression. The child has been monitored, and 1 year postoperatively, her sleep apnea has resolved and day-time function and development remain normal. Definitions of the different types of Arnold-Chiari malformation are discussed, with sleep apnea presenting as the only symptom. The importance of a sleep history as part of the practitioner's pediatric assessment is explored.

Authors+Show Affiliations

Apnea Program/Department of Nursing, Nemours Children's Clinic-Wilmington, Alfred I. duPont Hospital for Children, Wilmington, DE 19899, USA. mhersh@nemours.orgNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

12847429

Citation

Hershberger, Marjorie L., and Aaron Chidekel. "Arnold-Chiari Malformation Type I and Sleep-disordered Breathing: an Uncommon Manifestation of an Important Pediatric Problem." Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners, vol. 17, no. 4, 2003, pp. 190-7.
Hershberger ML, Chidekel A. Arnold-Chiari malformation type I and sleep-disordered breathing: an uncommon manifestation of an important pediatric problem. J Pediatr Health Care. 2003;17(4):190-7.
Hershberger, M. L., & Chidekel, A. (2003). Arnold-Chiari malformation type I and sleep-disordered breathing: an uncommon manifestation of an important pediatric problem. Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners, 17(4), 190-7.
Hershberger ML, Chidekel A. Arnold-Chiari Malformation Type I and Sleep-disordered Breathing: an Uncommon Manifestation of an Important Pediatric Problem. J Pediatr Health Care. 2003 Jul-Aug;17(4):190-7. PubMed PMID: 12847429.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Arnold-Chiari malformation type I and sleep-disordered breathing: an uncommon manifestation of an important pediatric problem. AU - Hershberger,Marjorie L, AU - Chidekel,Aaron, PY - 2003/7/9/pubmed PY - 2003/8/21/medline PY - 2003/7/9/entrez SP - 190 EP - 7 JF - Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners JO - J Pediatr Health Care VL - 17 IS - 4 N2 - A case review of a healthy 3-year-old toddler with a chief complaint of sleep-disordered breathing is presented. The child underwent a pneumogram sleep study with significant abnormal findings. Magnetic resonance imaging led to a diagnosis of Arnold-Chiari type I malformation and the need for posterior fossa decompression. The child has been monitored, and 1 year postoperatively, her sleep apnea has resolved and day-time function and development remain normal. Definitions of the different types of Arnold-Chiari malformation are discussed, with sleep apnea presenting as the only symptom. The importance of a sleep history as part of the practitioner's pediatric assessment is explored. SN - 0891-5245 UR - https://www.unboundmedicine.com/medline/citation/12847429/Arnold_Chiari_malformation_type_I_and_sleep_disordered_breathing:_an_uncommon_manifestation_of_an_important_pediatric_problem_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0891524502883365 DB - PRIME DP - Unbound Medicine ER -