Chiari malformations: An important cause of pediatric aspiration

详细信息    查看全文

• 作者：Jennifer C. Fuller^a ; ^{Jennifer_Fuller@MEEI.HARVARD.EDU" class="auth_mail" title="E-mail the corresponding author} ; Sumi Sinha^a ; Paul A. Caruso^b ; Cheryl J. Hersh^c ; William E. Butler^d ; Kalpathy S. Krishnamoorthy^e ; Christopher J. Hartnick^a
• 关键词：Pediatric ; Chronic aspiration ; Chiari malformation
• 刊名：International Journal of Pediatric Otorhinolaryngology
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：88
• 期：Complete
• 页码：124-128
• 全文大小：887 K

文摘

Chronic aspiration poses a major health risk to the pediatric population. We describe four cases in which work up for chronic aspiration with a brain MRI revealed a Chiari I malformation, a poorly described etiology of pediatric aspiration. All patients had at least one non-specific neurologic symptom but had swallow studies more characteristic of an anatomic than a neurologic etiology. Patients were referred to neurosurgery and underwent posterior fossa decompression with symptom improvement. A high index of suspicion for Chiari malformation should be maintained when the standard work up for aspiration is non-diagnostic, particularly when non-specific neurologic symptoms are present.