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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.

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Authors+Show Affiliations

Hershberger ML
Apnea Program/Department of Nursing, Nemours Children's Clinic-Wilmington, Alfred I. duPont Hospital for Children, Wilmington, DE 19899, USA. mhersh@nemours.org
Chidekel A
No affiliation info available

MeSH

Arnold-Chiari MalformationChildChild, PreschoolDecompression, SurgicalFemaleHumansLaminectomyMagnetic Resonance ImagingMedical History TakingNurse PractitionersNurse's RoleNursing AssessmentPediatric NursingPolysomnographyReferral and ConsultationSleep Apnea, CentralSurveys and Questionnaires

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 -