Erschienen in:
01.08.2012 | Case Report
Acquired and reversible Chiari-like descent following a single lumbar puncture: case report
verfasst von:
N. Pencovich, L. Ben-Sira, A. Kesler, S. Constantini
Erschienen in:
Child's Nervous System
|
Ausgabe 8/2012
Einloggen, um Zugang zu erhalten
Excerpt
Chiari malformation type I (CMI), a condition that consists of caudal herniation of the cerebellar tonsils through the foramen magnum, was originally considered a congenital abnormality. In recent years, numerous reports have documented the development of
acquired CMI secondary to various medical conditions and procedures such as lumbar–peritoneal shunting [
6], cerebrospinal fluid (CSF) drainage [
8], trauma [
23], tumors [
12,
24], multiple lumbar punctures (LP) [
21], and others [
1,
3]. Here, we describe a 16-year-old boy who developed a Chiari-like caudal descent of the cerebellar tonsils accompanied by compression of posterior fossa cisterns following a single diagnostic lumbar puncture. The pathophysiology and clinical implications of such a phenomenon in relation to known causes of acquired Chiari are discussed. …
