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Cessation of chronic hypertension after posterior fossa decompression in a child with Chiari I malformation. Case report.
J Neurosurg. 2004 Feb; 100(2 Suppl Pediatrics):194-6.JN

Abstract

The authors report on the case of a patient evaluated for Valsalva maneuver-induced headache, dizziness, and ataxia. Neuroimaging revealed a Chiari I malformation without syringomyelia. A history of idiopathic hypertension was noted. After posterior fossa decompression, pathologically elevated blood pressure was absent, and at 24-month follow-up evaluation the patient remained normotensive. Although seemingly rare, this case illustrates that some patients with tonsillar ectopia may exhibit elevated blood pressure. Clinicians should consider hindbrain herniation a rare cause in idiopathic hypertension.

Authors+Show Affiliations

Department of Cell Biology, University of Alabama at Birmingham, USA. richard.tubbs@ccc.uab.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

14758949

Citation

Tubbs, R Shane, et al. "Cessation of Chronic Hypertension After Posterior Fossa Decompression in a Child With Chiari I Malformation. Case Report." Journal of Neurosurgery, vol. 100, no. 2 Suppl Pediatrics, 2004, pp. 194-6.
Tubbs RS, Wellons JC, Blount JP, et al. Cessation of chronic hypertension after posterior fossa decompression in a child with Chiari I malformation. Case report. J Neurosurg. 2004;100(2 Suppl Pediatrics):194-6.
Tubbs, R. S., Wellons, J. C., Blount, J. P., Oakes, W. J., & Grabb, P. A. (2004). Cessation of chronic hypertension after posterior fossa decompression in a child with Chiari I malformation. Case report. Journal of Neurosurgery, 100(2 Suppl Pediatrics), 194-6.
Tubbs RS, et al. Cessation of Chronic Hypertension After Posterior Fossa Decompression in a Child With Chiari I Malformation. Case Report. J Neurosurg. 2004;100(2 Suppl Pediatrics):194-6. PubMed PMID: 14758949.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cessation of chronic hypertension after posterior fossa decompression in a child with Chiari I malformation. Case report. AU - Tubbs,R Shane, AU - Wellons,John C,3rd AU - Blount,Jeffrey P, AU - Oakes,W Jerry, AU - Grabb,Paul A, PY - 2004/2/5/pubmed PY - 2004/2/18/medline PY - 2004/2/5/entrez SP - 194 EP - 6 JF - Journal of neurosurgery JO - J. Neurosurg. VL - 100 IS - 2 Suppl Pediatrics N2 - The authors report on the case of a patient evaluated for Valsalva maneuver-induced headache, dizziness, and ataxia. Neuroimaging revealed a Chiari I malformation without syringomyelia. A history of idiopathic hypertension was noted. After posterior fossa decompression, pathologically elevated blood pressure was absent, and at 24-month follow-up evaluation the patient remained normotensive. Although seemingly rare, this case illustrates that some patients with tonsillar ectopia may exhibit elevated blood pressure. Clinicians should consider hindbrain herniation a rare cause in idiopathic hypertension. SN - 0022-3085 UR - https://www.unboundmedicine.com/medline/citation/14758949/Cessation_of_chronic_hypertension_after_posterior_fossa_decompression_in_a_child_with_Chiari_I_malformation__Case_report_ L2 - https://thejns.org/doi/10.3171/ped.2004.100.2.0194 DB - PRIME DP - Unbound Medicine ER -