Chiari type I presenting as left glossopharyngeal neuralgia with cardiac syncope

Abstract OBJECTIVE AND IMPORTANCE Chiari Type I malformation is an important pathological state in which the brainstem is compressed by the cerebellar tonsil. We present a case of glossopharyngeal neuralgia caused by Chiari Type I malformation. CLINICAL PRESENTATION A 50-year-old male patient was admitted with glossopharyngeal neuralgia. Magnetic resonance imaging studies revealed caudal displacement of the left cerebellar tonsil. INTERVENTION Small occipital craniectomy and C1 laminectomy were performed. The left cerebellar tonsil was resected. CONCLUSION This glossopharyngeal neuralgia was caused by compression of the lower cranial nerves and brainstem by the displaced left cerebellar tonsil. Decompression and pain relief were obtained with resection of the cerebellar tonsil. The patient was pain-free 30 weeks after the operation.

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Glossopharyngeal neuralgia in the context of a Chiari type I malformation

Journal of Clinical Neuroscience ◽

10.1016/j.jocn.2011.05.040 ◽

2012 ◽

Vol 19 (4) ◽

pp. 614-616 ◽

Cited By ~ 4

Author(s):

Fernando Ruiz-Juretschke ◽

Roberto García-Leal ◽

Sara Garcia-Duque ◽

Teresa Panadero ◽

Cristina Aracil

Keyword(s):

Glossopharyngeal Neuralgia ◽

Type I ◽

Chiari Type ◽

Chiari Type I Malformation ◽

Chiari Type I

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Hydrocephalus and Chiari type I malformation

Child s Nervous System ◽

10.1007/s00381-011-1545-3 ◽

2011 ◽

Vol 27 (10) ◽

pp. 1653-1664 ◽

Cited By ~ 53

Author(s):

Concezio Di Rocco ◽

Paolo Frassanito ◽

Luca Massimi ◽

Simone Peraio

Keyword(s):

Type I ◽

Chiari Type ◽

Chiari Type I Malformation ◽

Chiari Type I

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Chiari type I malformation and postoperative respiratory failure

Canadian Journal of Anesthesia/Journal canadien d anesthésie ◽

10.1007/bf03019872 ◽

2000 ◽

Vol 47 (12) ◽

pp. 1220-1223 ◽

Cited By ~ 11

Author(s):

Daryl L. Williams ◽

Hamed Umedaly ◽

I. Lynn Martin ◽

Anthony Boulton

Keyword(s):

Respiratory Failure ◽

Type I ◽

Chiari Type ◽

Chiari Type I Malformation ◽

Postoperative Respiratory Failure ◽

Chiari Type I

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Chiari Type I Malformation Presenting with Unilateral Hearing Loss

Journal of Neurological Surgery Part A Central European Neurosurgery ◽

10.1055/s-0041-1725959 ◽

2021 ◽

Author(s):

Abdulhamid Ciçek ◽

Jeroen Cortier ◽

Sarah Hendrickx ◽

Johan Van Cauwenbergh ◽

Lien Calus ◽

...

Keyword(s):

Hearing Loss ◽

Young Woman ◽

Surgical Decompression ◽

Unilateral Hearing Loss ◽

Type I ◽

Frequent Symptom ◽

Chiari Type ◽

Chiari Type I Malformation ◽

Suboccipital Craniectomy ◽

Chiari Type I

Abstract Introduction Chiari type I malformations can present in different ways, but the most frequent symptom is an occipitocervical headache. Hearing loss as the main presenting symptom is rare. Case A young woman with progressive left-sided unilateral hearing loss was diagnosed with a Chiari type I malformation. She underwent a suboccipital craniectomy with C1 laminectomy and duraplasty. The hearing loss had resolved postoperatively with normalization of the audiometry. Conclusion Chiari type I malformation can present solely with hearing loss. Improvement after surgical decompression is possible. This phenomenon is not emphasized well enough within the neurologic community. In this report, we present a summary of the pathophysiology and management in Chiari type I malformations.

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