caa a22 4500 463180534 CHVBK 20180406164837.0 cr unu---uuuuu 170326e20070801xx s 000 0 eng 10.1007/s00381-007-0355-0 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0355-0 Chiari I malformation and intra-cranial hypertension:a case-based review [Elektronische Daten] [Senta Kurschel, Richard Maier, Verena Gellner, Hans Eder] Objective: To present clinical and morphological findings before and after surgery in a child with Chairi I malformation (CMI) and intra-cranial hypertension (IH). The literature is reviewed and pathophysiologic factors are discussed. Clinical presentation: A 13-year-old obese boy with a 3-week history of headaches, neck pain, torticollis and progressive visual deterioration was admitted. Bi-lateral chronic papilloedema and decrease in visual acuity were found in the presence of a previously diagnosed CMI. Intervention and follow-up: Intra-cranial pressure monitoring demonstrating increased pressure levels was followed by a sub-occipital decompression, C1 laminectomy and duroplasty. Post-operatively, the boy improved markedly, the 6months follow-up opthalmological examination demonstrated resolution of papilloedema, but consecutive bi-lateral optic nerve atrophy. Conclusion: IH with progressive visual deterioration represents one of the varying clinical presentations of CMI and may be classified as a secondary form of idiopathic IH. Neuro-ophthalmological examination in all patients with CMI is recommended to identify the real incidence of this presentation. Altered CSF dynamics, venous hypertension and obesity as co-factors may be causative pathophysiologic factors. Springer-Verlag, 2007 Chiari I malformation nationallicence Intra-cranial hypertension nationallicence Papilloedema nationallicence Paediatric nationallicence Kurschel Senta Department of Neurosurgery, Medical University, Auenbruggerplatz 29, 8036, Graz, Austria aut Maier Richard Department of Ophthalmology, Medical University, Graz, Austria aut Gellner Verena Department of Neurosurgery, Medical University, Auenbruggerplatz 29, 8036, Graz, Austria aut Eder Hans Department of Neurosurgery, Medical University, Auenbruggerplatz 29, 8036, Graz, Austria aut Child's Nervous System Springer-Verlag 23/8(2007-08-01), 901-905 0256-7040 23:8<901 2007 23 381 https://doi.org/10.1007/s00381-007-0355-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0355-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kurschel Senta Department of Neurosurgery, Medical University, Auenbruggerplatz 29, 8036, Graz, Austria aut NATIONALLICENCE 700 1- Maier Richard Department of Ophthalmology, Medical University, Graz, Austria aut NATIONALLICENCE 700 1- Gellner Verena Department of Neurosurgery, Medical University, Auenbruggerplatz 29, 8036, Graz, Austria aut NATIONALLICENCE 700 1- Eder Hans Department of Neurosurgery, Medical University, Auenbruggerplatz 29, 8036, Graz, Austria aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/8(2007-08-01), 901-905 0256-7040 23:8<901 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer