Acquired Chiari malformation following spinal cord injury-a case series.
作者信息
McKean David, Zishan Umme Sara, Billingsley Sarah, Swarna Shyam S, O'Neill Cormac, Banerjee Monika, Siddiqi Safa, Papanikitas Joseph, Yanny Sarah, Hughes Richard, Meagher Tom
机构信息
1Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.
2Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK.
出版信息
Spinal Cord Ser Cases. 2019 Jul 9;5:65. doi: 10.1038/s41394-019-0211-y. eCollection 2019.
INTRODUCTION
Chiari malformation is characterized by caudal descent of the cerebellar tonsils through the foramen magnum. Acquired Chiari malformations (ACM) have previously been described after a variety of pathologies including lumbar puncture, cerebrospinal fluid (CSF) drainage, lumboperitoneal shunts, and conditions causing craniocephalic disproportion.
CASE PRESENTATION
We present four cases of ACM following spinal cord injury (SCI), which has not previously been described in the literature.
DISCUSSION
ACM is rare and typically associated with abnormalities in CSF pressure or space-occupying lesions. This case series describes the potential association of SCI with ACM. We discuss the imaging findings and clinical management of these patients. Early recognition and intervention may be important to prevent progressive neurology in this vulnerable patient group.
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