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Chiari I malformation and acute acquired comitant esotropia: case report and review of the literature.
J Neurosurg. 2005 May; 102(4 Suppl):407-12.JN

Abstract

The authors describe a rare case of a Chiari I malformation presenting with acute acquired comitant esotropia (AACE) in a 5-year-old boy. A posterior fossa decompression with duraplasty and a C1-2 laminectomy were performed. There was an immediate postoperative improvement in the esotropia, which completely resolved by 7 months following surgery. The pertinent literature is discussed and reasons are presented for recommending posterior fossa decompression in certain patients, rather than strabismus surgery, as the initial treatment for esotropia. The authors suggest that in patients with AACE, even subtle symptoms and signs of Chiari I malformation should prompt imaging of the posterior fossa. Strong consideration should be given to performing posterior fossa decompression in patients with Chiari I malformation and AACE before strabismus surgery because the esotropia may completely resolve with decompression.

Authors+Show Affiliations

Royal University Hospital, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

15926393

Citation

Hentschel, Stephen J., et al. "Chiari I Malformation and Acute Acquired Comitant Esotropia: Case Report and Review of the Literature." Journal of Neurosurgery, vol. 102, no. 4 Suppl, 2005, pp. 407-12.
Hentschel SJ, Yen KG, Lang FF. Chiari I malformation and acute acquired comitant esotropia: case report and review of the literature. J Neurosurg. 2005;102(4 Suppl):407-12.
Hentschel, S. J., Yen, K. G., & Lang, F. F. (2005). Chiari I malformation and acute acquired comitant esotropia: case report and review of the literature. Journal of Neurosurgery, 102(4 Suppl), 407-12.
Hentschel SJ, Yen KG, Lang FF. Chiari I Malformation and Acute Acquired Comitant Esotropia: Case Report and Review of the Literature. J Neurosurg. 2005;102(4 Suppl):407-12. PubMed PMID: 15926393.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chiari I malformation and acute acquired comitant esotropia: case report and review of the literature. AU - Hentschel,Stephen J, AU - Yen,Kimberly G, AU - Lang,Frederick F, PY - 2005/6/2/pubmed PY - 2005/6/17/medline PY - 2005/6/2/entrez SP - 407 EP - 12 JF - Journal of neurosurgery JO - J. Neurosurg. VL - 102 IS - 4 Suppl N2 - The authors describe a rare case of a Chiari I malformation presenting with acute acquired comitant esotropia (AACE) in a 5-year-old boy. A posterior fossa decompression with duraplasty and a C1-2 laminectomy were performed. There was an immediate postoperative improvement in the esotropia, which completely resolved by 7 months following surgery. The pertinent literature is discussed and reasons are presented for recommending posterior fossa decompression in certain patients, rather than strabismus surgery, as the initial treatment for esotropia. The authors suggest that in patients with AACE, even subtle symptoms and signs of Chiari I malformation should prompt imaging of the posterior fossa. Strong consideration should be given to performing posterior fossa decompression in patients with Chiari I malformation and AACE before strabismus surgery because the esotropia may completely resolve with decompression. SN - 0022-3085 UR - https://www.unboundmedicine.com/medline/citation/15926393/Chiari_I_malformation_and_acute_acquired_comitant_esotropia:_case_report_and_review_of_the_literature_ L2 - https://thejns.org/doi/10.3171/ped.2005.102.4.0407 DB - PRIME DP - Unbound Medicine ER -