Acromegaly, Herniation of Cerebellar Tonsils, and Arnold–Chiari 1 Malformation: The Importance of Right Definitions

We present a case of acromegaly associated with Arnold–Chiari 1 malformation and a literature review regarding this association, mainly focusing on the importance of a clear distinction between Chiari malformation and herniation of cerebellar tonsils (CTH). Indeed, in many clinical cases, this disti...

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Main Authors: Alessandro Ciarloni, Gianmaria Salvio
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2024/4733399
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author Alessandro Ciarloni
Gianmaria Salvio
author_facet Alessandro Ciarloni
Gianmaria Salvio
author_sort Alessandro Ciarloni
collection DOAJ
description We present a case of acromegaly associated with Arnold–Chiari 1 malformation and a literature review regarding this association, mainly focusing on the importance of a clear distinction between Chiari malformation and herniation of cerebellar tonsils (CTH). Indeed, in many clinical cases, this distinction has not been properly made and a better description of the radiological findings could be important for the clinical management of these patients. In fact, Arnold–Chiari 1 malformation, as a congenital disease, is not caused by acquired growth hormone (GH) excess, but the latter could worsen pre-existing CTH or even induce it ex novo. Therefore, awareness of this condition in the clinical management of acromegaly appears crucial.
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series Case Reports in Endocrinology
spelling doaj-art-bc30ea93a4cf4fedb91c3d8d20255f592025-02-03T05:55:20ZengWileyCase Reports in Endocrinology2090-651X2024-01-01202410.1155/2024/4733399Acromegaly, Herniation of Cerebellar Tonsils, and Arnold–Chiari 1 Malformation: The Importance of Right DefinitionsAlessandro Ciarloni0Gianmaria Salvio1Endocrinology ClinicEndocrinology ClinicWe present a case of acromegaly associated with Arnold–Chiari 1 malformation and a literature review regarding this association, mainly focusing on the importance of a clear distinction between Chiari malformation and herniation of cerebellar tonsils (CTH). Indeed, in many clinical cases, this distinction has not been properly made and a better description of the radiological findings could be important for the clinical management of these patients. In fact, Arnold–Chiari 1 malformation, as a congenital disease, is not caused by acquired growth hormone (GH) excess, but the latter could worsen pre-existing CTH or even induce it ex novo. Therefore, awareness of this condition in the clinical management of acromegaly appears crucial.http://dx.doi.org/10.1155/2024/4733399
spellingShingle Alessandro Ciarloni
Gianmaria Salvio
Acromegaly, Herniation of Cerebellar Tonsils, and Arnold–Chiari 1 Malformation: The Importance of Right Definitions
Case Reports in Endocrinology
title Acromegaly, Herniation of Cerebellar Tonsils, and Arnold–Chiari 1 Malformation: The Importance of Right Definitions
title_full Acromegaly, Herniation of Cerebellar Tonsils, and Arnold–Chiari 1 Malformation: The Importance of Right Definitions
title_fullStr Acromegaly, Herniation of Cerebellar Tonsils, and Arnold–Chiari 1 Malformation: The Importance of Right Definitions
title_full_unstemmed Acromegaly, Herniation of Cerebellar Tonsils, and Arnold–Chiari 1 Malformation: The Importance of Right Definitions
title_short Acromegaly, Herniation of Cerebellar Tonsils, and Arnold–Chiari 1 Malformation: The Importance of Right Definitions
title_sort acromegaly herniation of cerebellar tonsils and arnold chiari 1 malformation the importance of right definitions
url http://dx.doi.org/10.1155/2024/4733399
work_keys_str_mv AT alessandrociarloni acromegalyherniationofcerebellartonsilsandarnoldchiari1malformationtheimportanceofrightdefinitions
AT gianmariasalvio acromegalyherniationofcerebellartonsilsandarnoldchiari1malformationtheimportanceofrightdefinitions