Document Detail


Chiari I malformation presenting with hearing loss: surgical treatment and literature review.
MedLine Citation:
PMID:  18542971     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTS: Chiari I malformations can present with a number of clinical signs and symptoms. METHODS: We present a case of an 11-year-old girl that presented with significant sensorineural hearing loss as her only Chiari-related symptom. The patient had four audiograms that all demonstrated progressive bilateral hearing loss between 10 and 30 dB. On magnetic resonance scan, the patient was found to have a Chiari I malformation. The patient had 9 mm of tonsillar herniation but no syrinx or hydrocephalus was present. On exam, the patient did not exhibit any other symptoms of her Chiari malformation or cranial nerve abnormalities other than sensorineural hearing loss. The patient underwent a suboccipital craniotomy, C1 laminectomy, and duraplasty. The patient noted a subjective improvement in hearing and an audiogram performed at 3 months postoperatively demonstrated normal hearing bilaterally. CONCLUSIONS: Sensorineural hearing loss may be caused by Chiari I malformations. This symptom may improve following decompression.
Authors:
Gregory G Heuer; Brandon Gabel; Paul S Lemberg; Leslie N Sutton
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-06-10
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  24     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-08     Completed Date:  2008-11-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1063-6     Citation Subset:  IM    
Affiliation:
Division of Neurosurgery, Children's Hospital of Philadelphia, Wood Center, 6th Floor, 34th and Civic Center Blvd, Philadelphia, PA 19104, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Arnold-Chiari Malformation / complications*,  surgery*
Child
Craniotomy
Decompression, Surgical*
Female
Hearing Loss, Sensorineural / etiology*,  surgery*
Humans
Magnetic Resonance Imaging
Meningitis, Aseptic / etiology
Postoperative Complications

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