{"title":"Chiari畸形伴蛛网膜下腔出血：病例报告。","authors":"","doi":"10.1016/j.neucie.2024.06.002","DOIUrl":null,"url":null,"abstract":"<div><div><span>Chiari malformations<span> (CM) are often diagnosed in childhood and younger adults, with an incidence of only 0.77% in adult populations. Patients with CM may develop syringomyelia<span> and increased intracranial pressure (ICP) due to </span></span></span>cerebrospinal fluid<span><span> (CSF) obstruction and altered fluid dynamics at the cervicomedullary junction. We describe the case of a 65-year-old female presenting with an angionegative subarachnoid hemorrhage<span> (SAH) with concomitant new diagnosis of CM type I with syringomyelia. After ruling out any aneurysm or </span></span>vascular malformations<span><span>, she underwent a suboccipital craniectomy for a Chiari decompression with a C1 </span>laminectomy. There were no complications with the surgery and her symptoms improved. This case report highlights the unusual presentation of a CM.</span></span></div></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"35 6","pages":"Pages 319-322"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Chiari malformation presenting with subarachnoid hemorrhage: a case report\",\"authors\":\"\",\"doi\":\"10.1016/j.neucie.2024.06.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div><span>Chiari malformations<span> (CM) are often diagnosed in childhood and younger adults, with an incidence of only 0.77% in adult populations. Patients with CM may develop syringomyelia<span> and increased intracranial pressure (ICP) due to </span></span></span>cerebrospinal fluid<span><span> (CSF) obstruction and altered fluid dynamics at the cervicomedullary junction. We describe the case of a 65-year-old female presenting with an angionegative subarachnoid hemorrhage<span> (SAH) with concomitant new diagnosis of CM type I with syringomyelia. After ruling out any aneurysm or </span></span>vascular malformations<span><span>, she underwent a suboccipital craniectomy for a Chiari decompression with a C1 </span>laminectomy. There were no complications with the surgery and her symptoms improved. This case report highlights the unusual presentation of a CM.</span></span></div></div>\",\"PeriodicalId\":74273,\"journal\":{\"name\":\"Neurocirugia (English Edition)\",\"volume\":\"35 6\",\"pages\":\"Pages 319-322\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurocirugia (English Edition)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2529849624000340\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurocirugia (English Edition)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2529849624000340","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Chiari malformation presenting with subarachnoid hemorrhage: a case report
Chiari malformations (CM) are often diagnosed in childhood and younger adults, with an incidence of only 0.77% in adult populations. Patients with CM may develop syringomyelia and increased intracranial pressure (ICP) due to cerebrospinal fluid (CSF) obstruction and altered fluid dynamics at the cervicomedullary junction. We describe the case of a 65-year-old female presenting with an angionegative subarachnoid hemorrhage (SAH) with concomitant new diagnosis of CM type I with syringomyelia. After ruling out any aneurysm or vascular malformations, she underwent a suboccipital craniectomy for a Chiari decompression with a C1 laminectomy. There were no complications with the surgery and her symptoms improved. This case report highlights the unusual presentation of a CM.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
