Case Report: Chiari Zero Malformation

dc.contributor.authorNjau, Mwangi Ken
dc.contributor.authorNyangau, Nyaoncha Andrew
dc.contributor.authorArnold, Adili Wobenjo
dc.date.accessioned2023-03-22T13:59:21Z
dc.date.available2023-03-22T13:59:21Z
dc.date.issued2023
dc.descriptionArticleen_US
dc.description.abstractIntroduction: Chiari zero, initially dubbed syringohydromyelia without hindbrain herniation, is a rare subset of Chiari malformations. The clinical presentation is usually due to syringohydromyelia. The mode of management is foramen magnum decompression. We report a case of Chiari 0 with multiseptated/multiloculated syringohydromyelia and review the literature. Case report: We presented a 41-year-old man with an 8-year history of progressive numbness. A neurological exam revealed left-sided upper-limb hypopselaphesia, diminished algesthesia, and temperature sensation in the left upper limb and trunk. MRI noted cervicothoracic syringohydromyelia with tonsillar herniation. We performed foramen magnum decompression with duraplasty. His syringomyelia reduced significantly, and his neurological status improved during the three-month follow-up. Conclusion: Chiari 0 is a rare entity thought to occur due to altered dynamics in CSF flow at the craniovertebral junction with resultant syringohydromyelia without tonsillar herniation. Foramen magnum decompression with duraplasty remains the most widely accepted surgical interventionen_US
dc.identifier.citationMwangi, K. N., Nyangau, A. N., & Wobenjo, A. A. (2023). Case Report: Chiari Zero Malformation. East African Journal of Neurological Sciences, 2(1), 43-47.en_US
dc.identifier.otherEAJNS 2(1): 43-47
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/24996
dc.language.isoenen_US
dc.subjectChiari zeroen_US
dc.subjectChiari-like malformationen_US
dc.subjectsyringomyeliaen_US
dc.subjecttight cisterna magnaen_US
dc.subjectatlantoaxial instabilityen_US
dc.subjectforamen magnum decompressionen_US
dc.subjectatlantoaxial fusionen_US
dc.titleCase Report: Chiari Zero Malformationen_US
dc.typeArticleen_US
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