Chiari Type I Malformation Presenting as Glossopharyngeal Neuralgia: Case Report

Neurosurgery ◽  
2001 ◽  
Vol 48 (1) ◽  
pp. 226-228 ◽  
Author(s):  
Yucel Kanpolat ◽  
Agahan Unlu ◽  
Ali Savas ◽  
Funda Tan

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.

2012 ◽  
Vol 52 (10) ◽  
pp. 1576-1578 ◽  
Author(s):  
Feng Li ◽  
Yang Yang ◽  
Yuguang Liu ◽  
Qiang Li ◽  
Shugan Zhu

Neurosurgery ◽  
2001 ◽  
Vol 48 (1) ◽  
pp. 226-228 ◽  
Author(s):  
Yucel Kanpolat ◽  
Agahan Unlu ◽  
Ali Savas ◽  
Funda Tan

2008 ◽  
Vol 38 (12) ◽  
pp. 1126-1130 ◽  
Author(s):  
Alfonso Yglesias ◽  
Juan Narbona ◽  
Vicente Vanaclocha ◽  
Julio Artieda

2012 ◽  
Vol 19 (4) ◽  
pp. 614-616 ◽  
Author(s):  
Fernando Ruiz-Juretschke ◽  
Roberto García-Leal ◽  
Sara Garcia-Duque ◽  
Teresa Panadero ◽  
Cristina Aracil

2011 ◽  
Vol 27 (10) ◽  
pp. 1653-1664 ◽  
Author(s):  
Concezio Di Rocco ◽  
Paolo Frassanito ◽  
Luca Massimi ◽  
Simone Peraio

2000 ◽  
Vol 47 (12) ◽  
pp. 1220-1223 ◽  
Author(s):  
Daryl L. Williams ◽  
Hamed Umedaly ◽  
I. Lynn Martin ◽  
Anthony Boulton

Author(s):  
Abdulhamid Ciçek ◽  
Jeroen Cortier ◽  
Sarah Hendrickx ◽  
Johan Van Cauwenbergh ◽  
Lien Calus ◽  
...  

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.


2018 ◽  
Vol 61 (10) ◽  
pp. 2458-2466
Author(s):  
Esther Lázaro ◽  
Maitane García ◽  
Ane Ibarrola ◽  
Imanol Amayra ◽  
Juan Francisco López-Paz ◽  
...  

1993 ◽  
Vol 32 (3) ◽  
pp. 189-190 ◽  
Author(s):  
Joseph Dooley ◽  
Daniel Vaughan ◽  
Michael Riding ◽  
Peter Camfield

The association of neurofibromatosis type 1 (NF1) with Chiari malformations of the cerebellum and brain stem has been reported on only two previous occasions.1,2 The pathogenesis of both conditions has remained unclear, although the Chiari type I malformation is most likely due to hypoplasia of the posterior fossa with subsequent extension of the cerebellum through the foramen magnum.3 NF1 is also associated with a variety of cerebral dysplasias.4 We present a patient with both of these dysplastic lesions whose Chiari malformation was asymptomatic.


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