Samantha Schimmel , Molly Monsour , Davide Marco Croci
{"title":"Chiari malformation presenting with subarachnoid hemorrhage: a case report","authors":"Samantha Schimmel , Molly Monsour , Davide Marco Croci","doi":"10.1016/j.neucir.2024.06.002","DOIUrl":null,"url":null,"abstract":"<div><div>Chiari malformations (CM) are often diagnosed in childhood and younger adults, with an incidence of only 0.77% in adult populations. Patients with CM may develop syringomyelia and increased intracranial pressure (ICP) due to cerebrospinal fluid (CSF) obstruction and altered fluid dynamics at the cervicomedullary junction. We describe the case of a 65-year-old female presenting with an angionegative subarachnoid hemorrhage (SAH) with concomitant new diagnosis of CM type I with syringomyelia. After ruling out any aneurysm or vascular malformations, she underwent a suboccipital craniectomy for a Chiari decompression with a C1 laminectomy. There were no complications with the surgery and her symptoms improved. This case report highlights the unusual presentation of a CM.</div></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"35 6","pages":"Pages 319-322"},"PeriodicalIF":0.7000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurocirugia","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1130147324000733","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Chiari malformations (CM) are often diagnosed in childhood and younger adults, with an incidence of only 0.77% in adult populations. Patients with CM may develop syringomyelia and increased intracranial pressure (ICP) due to cerebrospinal fluid (CSF) obstruction and altered fluid dynamics at the cervicomedullary junction. We describe the case of a 65-year-old female presenting with an angionegative subarachnoid hemorrhage (SAH) with concomitant new diagnosis of CM type I with syringomyelia. After ruling out any aneurysm or vascular malformations, she underwent a suboccipital craniectomy for a Chiari decompression with a C1 laminectomy. There were no complications with the surgery and her symptoms improved. This case report highlights the unusual presentation of a CM.
恰里畸形（Chiari malformations，CM）通常在儿童和青少年时期被诊断出来，在成年人群中的发病率仅为 0.77%。由于颈髓交界处的脑脊液（CSF）阻塞和流体动力学改变，CM 患者可能会出现鞘膜积液和颅内压（ICP）增高。我们描述了一例 65 岁女性蛛网膜下腔出血（SAH）患者的病例，该患者被诊断为 I 型鞘膜积液。在排除动脉瘤或血管畸形的可能性后，她接受了枕骨下颅骨切除术，以进行Chiari减压术和C1椎板切除术。手术没有出现并发症，她的症状也得到了改善。本病例报告重点介绍了一种不寻常的 CM 表现。
期刊介绍：
Neurocirugía is the official Journal of the Spanish Society of Neurosurgery (SENEC). It is published every 2 months (6 issues per year). Neurocirugía will consider for publication, original clinical and experimental scientific works associated with neurosurgery and other related neurological sciences.
All manuscripts are submitted for review by experts in the field (peer review) and are carried out anonymously (double blind). The Journal accepts works written in Spanish or English.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
