Filipa Figueiredo, Teresa Valido, Martim Bastos, Carolina Chumbo, Jéssica Oliveira, Joana Batista Paulo, Marta Rocha
{"title":"Chiari Malformation as a Differential Diagnosis of Recurrent Syncope.","authors":"Filipa Figueiredo, Teresa Valido, Martim Bastos, Carolina Chumbo, Jéssica Oliveira, Joana Batista Paulo, Marta Rocha","doi":"10.12890/2025_005136","DOIUrl":null,"url":null,"abstract":"<p><p>Arnold-Chiari malformations are rare anomalies involving inferior displacement of the cerebellar tonsils and hindbrain through the foramen magnum. We present the case of a 19-year-old woman with a relatively rare presentation of recurrent syncope. The patient underwent surgical treatment with resolution of the symptoms. Few cases of surgical treatment have been described. This case underscores the importance of considering Chiari malformations in the differential diagnose of a common symptom - recurrent syncope - and the relevance of considering these patients for surgical treatment.</p><p><strong>Learning points: </strong>Chiari malformation type I (CM-I) should be included in the differential diagnosis in recurrent syncope, especially if accompanied by headache, vertigo, or transient sensory or motor symptoms in the arms or legs.In patients with CM-I with syncope, the good clinical results of surgical decompression should be kept in mind.</p>","PeriodicalId":11908,"journal":{"name":"European journal of case reports in internal medicine","volume":"12 2","pages":"005136"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801505/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European journal of case reports in internal medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12890/2025_005136","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Arnold-Chiari malformations are rare anomalies involving inferior displacement of the cerebellar tonsils and hindbrain through the foramen magnum. We present the case of a 19-year-old woman with a relatively rare presentation of recurrent syncope. The patient underwent surgical treatment with resolution of the symptoms. Few cases of surgical treatment have been described. This case underscores the importance of considering Chiari malformations in the differential diagnose of a common symptom - recurrent syncope - and the relevance of considering these patients for surgical treatment.
Learning points: Chiari malformation type I (CM-I) should be included in the differential diagnosis in recurrent syncope, especially if accompanied by headache, vertigo, or transient sensory or motor symptoms in the arms or legs.In patients with CM-I with syncope, the good clinical results of surgical decompression should be kept in mind.
期刊介绍：
The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.
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