Chiari 1 Malformation in a Child with Febrile Seizures, Parasomnias, and Sleep Apnea Syndrome
Introduction. The type I is the most common Chiari malformation in children. In this condition, the lower part of the cerebellum, but not the brain stem, extends into the foramen magnum at the base of the skull leading to disturbances in cerebrospinal fluid circulation and to direct compression of n...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2017/8189790 |
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| author | Marco Zaffanello Francesca Darra Tommaso Lo Barco Francesco Sala Emma Gasperi Giorgio Piacentini |
| author_facet | Marco Zaffanello Francesca Darra Tommaso Lo Barco Francesco Sala Emma Gasperi Giorgio Piacentini |
| author_sort | Marco Zaffanello |
| collection | DOAJ |
| description | Introduction. The type I is the most common Chiari malformation in children. In this condition, the lower part of the cerebellum, but not the brain stem, extends into the foramen magnum at the base of the skull leading to disturbances in cerebrospinal fluid circulation and to direct compression of nervous tissue. Case report. We describe a 4-year-old Caucasian female child with febrile seizures, headache, parasomnias, and a delay of speech. The child underwent a magnetic resonance imaging to investigate these neurological signs, disclosing a Chiari malformation type 1. The polysomnography showed a mild-moderate sleep-disordered breathing, increased number of central sleep apneas, and generalized spike waves at sleep onset. Conclusions. Seizures have been seldom described in CM1 patients. The main reasons for performing MRI in this case were frequent seizures, a delay of speech, and headache, leading to an unexpected diagnosis of CM1. Polysomnography detected a discrete SDB. |
| format | Article |
| id | doaj-art-a7cd6e2744304480807cf62efb878196 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-a7cd6e2744304480807cf62efb8781962025-08-20T03:38:48ZengWileyCase Reports in Pediatrics2090-68032090-68112017-01-01201710.1155/2017/81897908189790Chiari 1 Malformation in a Child with Febrile Seizures, Parasomnias, and Sleep Apnea SyndromeMarco Zaffanello0Francesca Darra1Tommaso Lo Barco2Francesco Sala3Emma Gasperi4Giorgio Piacentini5Pediatric Division, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, ItalyChild Neuropsychiatry, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, ItalyChild Neuropsychiatry, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, ItalyNeurosurgery Section, Department of Neuroscience, Biomedicine, and Movement Science, University of Verona, Verona, ItalyPediatric Division, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, ItalyPediatric Division, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, ItalyIntroduction. The type I is the most common Chiari malformation in children. In this condition, the lower part of the cerebellum, but not the brain stem, extends into the foramen magnum at the base of the skull leading to disturbances in cerebrospinal fluid circulation and to direct compression of nervous tissue. Case report. We describe a 4-year-old Caucasian female child with febrile seizures, headache, parasomnias, and a delay of speech. The child underwent a magnetic resonance imaging to investigate these neurological signs, disclosing a Chiari malformation type 1. The polysomnography showed a mild-moderate sleep-disordered breathing, increased number of central sleep apneas, and generalized spike waves at sleep onset. Conclusions. Seizures have been seldom described in CM1 patients. The main reasons for performing MRI in this case were frequent seizures, a delay of speech, and headache, leading to an unexpected diagnosis of CM1. Polysomnography detected a discrete SDB.http://dx.doi.org/10.1155/2017/8189790 |
| spellingShingle | Marco Zaffanello Francesca Darra Tommaso Lo Barco Francesco Sala Emma Gasperi Giorgio Piacentini Chiari 1 Malformation in a Child with Febrile Seizures, Parasomnias, and Sleep Apnea Syndrome Case Reports in Pediatrics |
| title | Chiari 1 Malformation in a Child with Febrile Seizures, Parasomnias, and Sleep Apnea Syndrome |
| title_full | Chiari 1 Malformation in a Child with Febrile Seizures, Parasomnias, and Sleep Apnea Syndrome |
| title_fullStr | Chiari 1 Malformation in a Child with Febrile Seizures, Parasomnias, and Sleep Apnea Syndrome |
| title_full_unstemmed | Chiari 1 Malformation in a Child with Febrile Seizures, Parasomnias, and Sleep Apnea Syndrome |
| title_short | Chiari 1 Malformation in a Child with Febrile Seizures, Parasomnias, and Sleep Apnea Syndrome |
| title_sort | chiari 1 malformation in a child with febrile seizures parasomnias and sleep apnea syndrome |
| url | http://dx.doi.org/10.1155/2017/8189790 |
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