Document Detail

Cessation of chronic hypertension after posterior fossa decompression in a child with Chiari I malformation. Case report.
MedLine Citation:
PMID:  14758949     Owner:  NLM     Status:  MEDLINE    
The authors report on the case of a patient evaluated for Valsalva maneuver-induced headache, dizziness, and ataxia. Neuroimaging revealed a Chiari I malformation without syringomyelia. A history of idiopathic hypertension was noted. After posterior fossa decompression, pathologically elevated blood pressure was absent, and at 24-month follow-up evaluation the patient remained normotensive. Although seemingly rare, this case illustrates that some patients with tonsillar ectopia may exhibit elevated blood pressure. Clinicians should consider hindbrain herniation a rare cause in idiopathic hypertension.
R Shane Tubbs; John C Wellons; Jeffrey P Blount; W Jerry Oakes; Paul A Grabb
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  100     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-02-04     Completed Date:  2004-02-17     Revised Date:  2005-04-14    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  194-6     Citation Subset:  AIM; IM    
Department of Cell Biology, University of Alabama at Birmingham, USA.
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MeSH Terms
Arnold-Chiari Malformation / complications,  diagnosis,  surgery*
Blood Pressure* / physiology
Decompression, Surgical*
Follow-Up Studies
Hypertension / etiology,  surgery*
Magnetic Resonance Imaging
Postoperative Complications / diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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