본문 바로가기
KERD
논문KCI 등재

A Case of Type 1 Arnold-Chiari Malformation with Isolated Dizziness

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류이비인후과학

초록

Diagnosing dizziness in children is challenging as it is less common and exhibits different characteristics compared to that in adults. Arnold-Chiari malformation is a rare, transient condition of congenital or acquired origin. However, isolated dizziness as the first symptom of the Arnold-Chiari malformation is rarely reported in children. In this study, we report the case of a 14-year-old boy who presented with isolated dizziness. His neurological examination and vestibular function tests were normal. We performed brain magnetic resonance imaging (MRI), which confirmed a type 1 Arnold- Chiari malformation. Since the symptoms of dizziness were not severe, the patient was monitored while wearing a cervical collar that restricted neck movements to prevent the worsening of the symptoms. The possibility of congenital malformations must be considered during the differential diagnosis of dizziness in children.

Abstract

Diagnosing dizziness in children is challenging as it is less common and exhibits different characteristics compared to that in adults. Arnold-Chiari malformation is a rare, transient condition of congenital or acquired origin. However, isolated dizziness as the first symptom of the Arnold-Chiari malformation is rarely reported in children. In this study, we report the case of a 14-year-old boy who presented with isolated dizziness. His neurological examination and vestibular function tests were normal. We performed brain magnetic resonance imaging (MRI), which confirmed a type 1 Arnold- Chiari malformation. Since the symptoms of dizziness were not severe, the patient was monitored while wearing a cervical collar that restricted neck movements to prevent the worsening of the symptoms. The possibility of congenital malformations must be considered during the differential diagnosis of dizziness in children.

참고문헌 (11)

  1. Sarnat HB, "Disorders of segmentation of the neural tube : Chiari malformations", Handb Clin Neurol, 87, pp.89~103 (2007)
  2. Milhorat TH, "Syndrome of occipitoatlantoaxial hypermobility, cranial settling, and Chiari malformation type I in patients with hereditary disorders of connective tissue", J Neurosurg Spine, 7(6), pp.601~609 (2007)
  3. Sperling NM, "Otologic manifestations of Chiari I malformation", Otol Neurotol, 22(5), pp.678~681 (2001)
  4. Schijman E, "History, anatomic forms, and pathogenesis of Chiari I malformations", Childs Nerv Syst, 20(5), pp.323~328 (2004)
  5. Paul KS, "Arnold-Chiari malformation : review of 71 cases", J Neurosurg, 58(2), pp.183~187 (1983)
  6. Novegno F, "The natural history of the Chiari type I anomaly", J Neurosurg Pediatr, 2(3), pp.179~187 (2008)
  7. Jahn K, "Vertigo and dizziness in childhood : update on diagnosis and treatment", Neuropediatrics, 42(4), pp.129~134 (2011)
  8. Dieterich M, "Ocular torsion and tilt of subjective visual vertical are sensitive brainstem signs", Ann Neurol, 33(3), pp.292~299 (1993)
  9. Blayney AW, "Dizziness in childhood", Clin Otolaryngol Allied Sci, 9(2), pp.77~85 (1984)
  10. Eviatar L, "Vertigo in children : differential diagnosis and treatment", Pediatrics, 59(6), pp.833~838 (1977)
  11. Kim MS, "A case of a girl with Arnold-Chiari type 1 malformation with precocious puberty", Korean J Fam Med, 39(1), pp.54~56 (2018)

관련 논문AI추천

이 간행물의 다른 논문 (4건)