Skip to main content
Log in

Sudden death revealing Chiari type 1 malformation in two children

  • Neonatal and Pediatric Intensive Care
  • Published:
Intensive Care Medicine Aims and scope Submit manuscript

Abstract

We report the first two fatal cases of suddden unprovoked cardiorespiratory arrest in children with previously undiagnosed Arnold-Chiari type 1 malformation. This diagnosis should be considered in children with unexplained cardiorespiratory arrest. The risk of sudden death in Arnold-Chiari type 1 malformation reinforces the indication for early neurosurgical procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Paul KS, Lye RH, Strang FA, Dutton J (1983) Arnold-Chiari malformation. Review of 71 cases. J Neurosurg 58:183–187

    Google Scholar 

  2. Dure LS, Percy AK, Cheek WR, Laurent JP (1989) Chiari type I malformation in children. J Pediatr 115:573–576

    Google Scholar 

  3. Dauser RC, Dipietro MA, Venes JL (1988) Symptomatic Chiari 1 malformation in childhood: a report of 7 cases. Pediatr Neurosci 14:184–190

    Google Scholar 

  4. Dyste GN, Menezes AH (1988) Presentation and management of pediatric Chiari malformations without myelodysplasia. Neurosurgery 23:589–597

    Google Scholar 

  5. Tomaszek DE, Tyson GW, Bouldint T, Hansen AR (1984) Sudden death in a child with an occult hindbrain malformation. Ann Emerg Med 13:136–138

    Google Scholar 

  6. Fish DR, Howards RS, Wiles CM, Simon L (1988) Respiratory arrest: a complication of cerebellar ectopia in adults. J Neurol Neurosurg Psychiatry 51:714–716

    Google Scholar 

  7. Ruff ME, Oakes WJ, Fisher SR, Spock A (1987) Sleep apnea and vocal cord paralysis secondary to type 1 Chiari malformation. Pediatrics 80:231–234

    Google Scholar 

  8. Bokinsky GE, Hudson LD, Weil JV (1973) Impaired peripheral chemosensitivity and acute respiratory failure in Arnold-Chiari malformation and syringomyelia. N Engl J Med 288:947–948

    Google Scholar 

  9. Listernick R, Tomita T (1991) Persistent crying in infancy as a presentation of Chiari type I malformation. J Pediatr 118:567–569

    Google Scholar 

  10. Coria F, Quintana F, Rebollo M, Combarros O, Berciano J (1983) Occipital dysplasia and Chiari type I deformity in a family. Clinical and radiological study of three generations. J Neurol Sci 62:147–158

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Martinot, A., Hue, V., Leclerc, F. et al. Sudden death revealing Chiari type 1 malformation in two children. Intensive Care Med 19, 73–74 (1993). https://doi.org/10.1007/BF01708364

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01708364

Key words

Navigation