Paybast Sepideh, Koosha Mohsen, Motamedi Dina, Habibi Arman
Neurology Department, Bou-ali-Sina Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.
Neurosurgery Department, Imam Hossin Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Adv J Emerg Med. 2019 Aug 18;4(2):e30. doi: 10.22114/ajem.v0i0.206. eCollection 2020 Spring.
Chiari malformations are a group of congenital anomalies which involve the hindbrain and the cervical spinal canal.
Here, we describe a patient who presented with acute diplopia and gait unsteadiness which was first deigned with Chiari malformation type-1. However due to progression of the ataxia the full neurologic evaluation was considered which established the diagnosis of spinocerebellar ataxia type 3 (Machado-Joseph-Disease).
We aim to highlight the importance of careful examination in order to avoid misdiagnosis of even rare diseases.
Chiari 畸形是一组涉及后脑和颈椎管的先天性异常。
在此，我们描述了一名患者，该患者最初被诊断为 Chiari 1 型畸形，表现为急性复视和步态不稳。然而，由于共济失调的进展，进行了全面的神经学评估，最终确诊为 3 型脊髓小脑共济失调（马查多 - 约瑟夫病）。
我们旨在强调仔细检查的重要性，以避免误诊，即使是罕见疾病。
