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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

Abteilung für Orthoptik und Neuroophthalmologie, Kantonsspital Sankt Gallen, Schweiz.No affiliation info available

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]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2005-858019 DB - PRIME DP - Unbound Medicine ER -