Respiratory Failure in Arnold-Chiari Malformation

Respiration ◽  
2002 ◽  
Vol 69 (1) ◽  
pp. 86-86
Author(s):  
T.L. Hattingh ◽  
J.T. Butler ◽  
A.L. Biebuyck ◽  
C.T. Bolliger
Keyword(s):  
Respiratory Failure ◽  
Chiari Malformation ◽  
Arnold Chiari Malformation

scholarly journals Intravenous Sedation in Arnold-Chiari Malformation With Respiratory Failure

2019 ◽  
Vol 66 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Yoshiki Shionoya ◽  
Eishi Nakamura ◽  
Takahiro Goi ◽  
Kiminari Nakamura ◽  
Katsuhisa Sunada
Keyword(s):  
Respiratory Failure ◽  
Respiratory Depression ◽  
Chiari Malformation ◽  
Dental Treatment ◽  
Anesthetic Management ◽  
Cranial Nerves ◽  
Intravenous Sedation ◽  
Type Ii ◽  
Neck Extension ◽  
Arnold Chiari Malformation

Type II Arnold-Chiari malformation (ACM) is an abnormality in which the cerebellum, pons, and medulla oblongata are displaced downward into the spinal cord. Type II ACM is often complicated by respiratory depression, sleep-disordered breathing, and deglutition disorder as a result of medullary dysfunction and impairment of the lower cranial nerves. Bending and stretching of the neck is restricted, and anesthetic management is problematic in patients with the disorder. We performed dental treatment twice under intravenous sedation in a patient with intellectual disability with type II ACM complicated by hypercapnic respiratory failure. Propofol was used for the first sedation procedure. Repeated bouts of respiratory depression occurred on that occasion, so the airway was managed manually by lifting the jaw. However, aspiration pneumonitis occurred postoperatively. A combination of dexmedetomidine and midazolam was used for sedation on the second occasion, and the intervention was completed uneventfully without any respiratory depression. Our experience with this patient highlights the need for selection of an agent for intravenous sedation that does not require neck extension and has minimal effect on respiration in patients with type II ACM, who are at high risk of respiratory depression and pulmonary aspiration.

scholarly journals Type I Arnold-Chiari malformation with bronchiectasis, respiratory failure, and sleep disordered breathing: a case report

2013 ◽  
Vol 8 ◽  
Author(s):  
Raffaele Campisi ◽  
Nicola Ciancio ◽  
Laura Bivona ◽  
Annalisa Di Maria ◽  
Giuseppe Di Maria
Keyword(s):  
Respiratory Failure ◽  
Chiari Malformation ◽  
Sleep Disordered Breathing ◽  
Clinical Manifestations ◽  
Low Flow ◽  
Cervical Canal ◽  
Type I ◽  
Arnold Chiari Malformation ◽  
Pulmonary Manifestations ◽  
Disordered Breathing

Arnold Chiari Malformation (ACM) is defined as a condition where part of the cerebellar tissue herniates into the cervical canal toward the medulla and spinal cord resulting in a number of clinical manifestations. Type I ACM consists of variable displacement of the medulla throughout the formamen magnum into the cervical canal, with prominent cerebellar herniation. Type I ACM is characterized by symptoms related to the compression of craniovertebral junction, including ataxia, dysphagia, nistagmus, headache, dizziness, and sleep disordered breathing. We report a case of a life-long nonsmoker, 54 years old woman who presented these symptoms associated with bronchiectasis secondary to recurrent inhalation pneumonia, hypercapnic respiratory failure, and central sleep apnea (CSA). CSA was first unsuccessfully treated with nocturnal c-PAP. The subsequent treatment with low flow oxygen led to breathing pattern stabilization with resolution of CSA and related clinical symptoms during sleep. We suggest that in patients with type I ACM the presence of pulmonary manifestations aggravating other respiratory disturbances including sleep disordered breathing (SDB) should be actively investigated. The early diagnosis is desirable in order to avoid serious and/or poorly reversible damages.

scholarly journals Isolated central respiratory failure due to syringomyelia and Arnold-Chiari malformation.

BMJ ◽  
1988 ◽  
Vol 297 (6661) ◽  
pp. 1448-1449 ◽  
Author(s):  
R. Bullock ◽  
N. V. Todd ◽  
J. Easton ◽  
D. Hadley
Keyword(s):  
Respiratory Failure ◽  
Chiari Malformation ◽  
Arnold Chiari Malformation

scholarly journals Arnold-Chiari Malformation Type 1 as an Unusual Cause of Acute Respiratory Failure: A Case Report

Authorea ◽  
2020 ◽  
Author(s):  
Mohamad Khatib ◽  
Moustafa Elshafei ◽  
Amr Shabana ◽  
Dnyaneshwar Mutkule ◽  
Dinesh Chengamaraju ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Chiari Malformation ◽  
Arnold Chiari Malformation ◽  
Chiari Malformation Type 1

scholarly journals Arnold‐Chiari malformation type 1 as an unusual cause of acute respiratory failure: A case report

2020 ◽  
Vol 8 (10) ◽  
pp. 1943-1946
Author(s):  
Mohamad Y. Khatib ◽  
Moustafa S. Elshafei ◽  
Amr M. Shabana ◽  
Dnyaneshwar P. Mutkule ◽  
Dinesh Chengamaraju ◽  
...  
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Chiari Malformation ◽  
Arnold Chiari Malformation ◽  
Chiari Malformation Type 1

Acute respiratory failure and sleep-disordered breathing in Arnold–Chiari malformation

2005 ◽  
Vol 107 (6) ◽  
pp. 521-524 ◽  
Author(s):  
Venetia Tsara ◽  
Eva Serasli ◽  
Vassilios Kimiskidis ◽  
Sotirios Papagianopoulos ◽  
Vassilios Katsaridis ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Chiari Malformation ◽  
Sleep Disordered Breathing ◽  
Arnold Chiari Malformation ◽  
Disordered Breathing

Migräne? Arnold-Chiari-Malformation? Oder doch einfach nur eine Migräne?

Praxis ◽  
2020 ◽  
Vol 109 (10) ◽  
pp. 806-811
Author(s):  
Kristian Jäckel ◽  
Beat Knechtle
Keyword(s):  
Chiari Malformation ◽  
Arnold Chiari Malformation

Zusammenfassung. Zusammenfassung: Bei einer jungen Frau mit langjährigen Kopfschmerzen im Sinne einer Migräne ergab eine neurologische Neubeurteilung inklusive neuer Befundung der vorhandenen MRI-Bilder des Schädels die Diagnose einer Chiari-Malformation vom Typ 1. Nach erfolgreicher Operation des Befundes gingen die Kopfschmerzen deutlich zurück. Da aber noch geringe Kopfschmerzen einer anderen Qualität bestehen blieben, ist davon auszugehen, dass eine Migräne sowie als Zufallsbefund die Malformation vorliegen.

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