{"title":"Arnold Chiari I型畸形患者牙科治疗1例报告。","authors":"Amani M Harrandah","doi":"10.1155/crid/2868368","DOIUrl":null,"url":null,"abstract":"<p><p>Arnold Chiari malformation (CM) is a neurological disorder marked by the downward displacement of the cerebellar tonsils through the foramen magnum into the spinal canal, impacting the brain's posterior fossa, often associated with myelomeningocele, a form of spina bifida where the spinal cord protrudes through a spinal defect. Diagnosis is commonly made using MRI, with surgical intervention sometimes needed to relieve pressure on the brain and spinal cord. There are six types of CMs; Type I (CM1) is the most prevalent and is often identified in adulthood. CM1 involves herniation of the cerebellar tonsils through the foramen magnum, potentially causing symptoms such as headaches exacerbated by coughing, neck pain, dizziness, and sensory disturbances. Severe cases may include dysphagia, motor control issues, and sleep apnea. In dental treatment, CM patients should avoid prolonged neck hyperextension, which can increase discomfort, and metal appliances may need removal before MRI imaging. This case report documents the first case of CM1 at Umm Al-Qura University Dental Teaching Hospital and describes a tailored dental treatment plan designed to address the patient's specific needs.</p>","PeriodicalId":46841,"journal":{"name":"Case Reports in Dentistry","volume":"2025 ","pages":"2868368"},"PeriodicalIF":0.7000,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055305/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Case Report of Dental Management of Patient With Arnold Chiari I Malformation.\",\"authors\":\"Amani M Harrandah\",\"doi\":\"10.1155/crid/2868368\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Arnold Chiari malformation (CM) is a neurological disorder marked by the downward displacement of the cerebellar tonsils through the foramen magnum into the spinal canal, impacting the brain's posterior fossa, often associated with myelomeningocele, a form of spina bifida where the spinal cord protrudes through a spinal defect. Diagnosis is commonly made using MRI, with surgical intervention sometimes needed to relieve pressure on the brain and spinal cord. There are six types of CMs; Type I (CM1) is the most prevalent and is often identified in adulthood. CM1 involves herniation of the cerebellar tonsils through the foramen magnum, potentially causing symptoms such as headaches exacerbated by coughing, neck pain, dizziness, and sensory disturbances. Severe cases may include dysphagia, motor control issues, and sleep apnea. In dental treatment, CM patients should avoid prolonged neck hyperextension, which can increase discomfort, and metal appliances may need removal before MRI imaging. This case report documents the first case of CM1 at Umm Al-Qura University Dental Teaching Hospital and describes a tailored dental treatment plan designed to address the patient's specific needs.</p>\",\"PeriodicalId\":46841,\"journal\":{\"name\":\"Case Reports in Dentistry\",\"volume\":\"2025 \",\"pages\":\"2868368\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-04-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055305/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Case Reports in Dentistry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/crid/2868368\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/crid/2868368","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
Arnold Chiari畸形(CM)是一种神经系统疾病,其特征是小脑扁桃体通过枕骨大孔向下移位进入椎管,影响大脑后窝,通常与髓膜膨出有关,髓膜膨出是脊柱裂的一种形式,脊髓通过脊柱缺损突出。诊断通常使用核磁共振成像,有时需要手术干预以减轻对大脑和脊髓的压力。CMs有六种类型;I型(CM1)是最普遍的,通常在成年期发现。CM1涉及通过枕骨大孔的小脑扁桃体突出,可能引起咳嗽、颈部疼痛、头晕和感觉障碍加剧的头痛等症状。严重者可能包括吞咽困难、运动控制问题和睡眠呼吸暂停。在牙科治疗中,CM患者应避免颈部过伸时间过长,否则会增加不适,并且在MRI成像前可能需要取出金属矫治器。本病例报告记录了Umm Al-Qura大学牙科教学医院的第一例CM1病例,并描述了为满足患者特定需求而量身定制的牙科治疗计划。
A Case Report of Dental Management of Patient With Arnold Chiari I Malformation.
Arnold Chiari malformation (CM) is a neurological disorder marked by the downward displacement of the cerebellar tonsils through the foramen magnum into the spinal canal, impacting the brain's posterior fossa, often associated with myelomeningocele, a form of spina bifida where the spinal cord protrudes through a spinal defect. Diagnosis is commonly made using MRI, with surgical intervention sometimes needed to relieve pressure on the brain and spinal cord. There are six types of CMs; Type I (CM1) is the most prevalent and is often identified in adulthood. CM1 involves herniation of the cerebellar tonsils through the foramen magnum, potentially causing symptoms such as headaches exacerbated by coughing, neck pain, dizziness, and sensory disturbances. Severe cases may include dysphagia, motor control issues, and sleep apnea. In dental treatment, CM patients should avoid prolonged neck hyperextension, which can increase discomfort, and metal appliances may need removal before MRI imaging. This case report documents the first case of CM1 at Umm Al-Qura University Dental Teaching Hospital and describes a tailored dental treatment plan designed to address the patient's specific needs.
期刊介绍:
Case Reports in Dentistry is a peer-reviewed, Open Access journal that publishes case reports and case series in all areas of dentistry, including periodontal diseases, dental implants, oral pathology, as well as oral and maxillofacial surgery.