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[Arnold-Chiari I malformation: three unusual manifestations].
Klin Monbl Augenheilkd. 2005 Mar; 222(3):218-21.KM

Abstract

BACKGROUND

Arnold-Chiari Syndrome I is a malformation of the cervicomedullary junction, manifesting usually with downbeat nystagmus, palsy of the caudal cerebral nerves, headache, and vertigo.

PATIENTS AND METHODS

We present three patients with unusual symptomatology.

RESULTS

A two-year-old child with isolated non-ocular torticollis, a 52-year-old male patient, and a 42-year-old female patient, both with gaze-evoked nystagmus, underwent a cerebral MRI examination. The findings of the first two patients were typical for an Arnold-Chiari syndrome. The malformation in the third patient was found only by reviewing the initial MRI.

CONCLUSIONS

Arnold-Chiari malformation may manifest atypically. An important step in the work-up of these patients is to ask the neuroradiologist to include the cervicomedullary junction in his evaluation.

Authors+Show Affiliations

Pellanda N
Abteilung für Orthoptik und Neuroophthalmologie, Kantonsspital Sankt Gallen, Schweiz.
Mojon D
No affiliation info available

MeSH

AdultArnold-Chiari MalformationBrain StemCerebellumCervical VertebraeChild, PreschoolCranial Nerve DiseasesDiagnosis, DifferentialFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleMiddle AgedPrognosisSpinal CanalTorticollis

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ger

PubMed ID

15785984

Citation

Pellanda, N, and D Mojon. "[Arnold-Chiari I Malformation: Three Unusual Manifestations]." Klinische Monatsblatter Fur Augenheilkunde, vol. 222, no. 3, 2005, pp. 218-21.
Pellanda N, Mojon D. [Arnold-Chiari I malformation: three unusual manifestations]. Klin Monbl Augenheilkd. 2005;222(3):218-21.
Pellanda, N., & Mojon, D. (2005). [Arnold-Chiari I malformation: three unusual manifestations]. Klinische Monatsblatter Fur Augenheilkunde, 222(3), 218-21.
Pellanda N, Mojon D. [Arnold-Chiari I Malformation: Three Unusual Manifestations]. Klin Monbl Augenheilkd. 2005;222(3):218-21. PubMed PMID: 15785984.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Arnold-Chiari I malformation: three unusual manifestations]. AU - Pellanda,N, AU - Mojon,D, PY - 2005/3/24/pubmed PY - 2005/6/30/medline PY - 2005/3/24/entrez SP - 218 EP - 21 JF - Klinische Monatsblatter fur Augenheilkunde JO - Klin Monbl Augenheilkd VL - 222 IS - 3 N2 - BACKGROUND: Arnold-Chiari Syndrome I is a malformation of the cervicomedullary junction, manifesting usually with downbeat nystagmus, palsy of the caudal cerebral nerves, headache, and vertigo. PATIENTS AND METHODS: We present three patients with unusual symptomatology. RESULTS: A two-year-old child with isolated non-ocular torticollis, a 52-year-old male patient, and a 42-year-old female patient, both with gaze-evoked nystagmus, underwent a cerebral MRI examination. The findings of the first two patients were typical for an Arnold-Chiari syndrome. The malformation in the third patient was found only by reviewing the initial MRI. CONCLUSIONS: Arnold-Chiari malformation may manifest atypically. An important step in the work-up of these patients is to ask the neuroradiologist to include the cervicomedullary junction in his evaluation. SN - 0023-2165 UR - https://www.unboundmedicine.com/medline/citation/15785984/[Arnold_Chiari_I_malformation:_three_unusual_manifestations]_ DB - PRIME DP - Unbound Medicine ER -