PEDIATRICS Vol. 80 No. 2 August 1987, pp. 231-234
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ruff, M. E.
Right arrow Articles by Spock, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ruff, M. E.
Right arrow Articles by Spock, A.

Sleep Apnea and Vocal Cord Paralysis Secondary to Type I Chiari Malformation

Michael E. Ruff MD1, W. Jerry Oakes MD1, Samuel R. Fisher MD1, and Alexander Spock MD1

1 From the Departments of Pediatrics, Otolaryngology, and Neurosurgery, Duke University Medical Center, Durham, North Carolina

A previously healthy 13-year-old boy d boy wimyelo-myelo-dysplasia who had mild scoliosis was seen with complaints of nasal congestion, noisy nighttime breathing, and difficulty sleeping. Flattening of the inspiratory loop on the flow-volume curve was found on pulmonary function testing, suggesting a variable extrathoracic obstruction due to a laryngeal lesion. Bilateral abductor vocal cord paralysis and sleep apnea developed precipitously following general anesthesia. Further workup demonstrated a type-I Chiari malformation with syringomyelia. Brainstem abnormalities such as Chiari malformation with secondary tenth cranial nerve deficits should be considered in previously healthy children and adolescents with signs and symptoms of upper airway obstruction and apnea.

Key Words: Arnold-Chiari deformit • vocal cord paralysis • sleep apnea • scoliosis

Submitted on July 27, 1986
Accepted on October 21, 1986




This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
R. Landau, R. Giraud, V. Delrue, and C. Kern
Spinal Anesthesia for Cesarean Delivery in a Woman with a Surgically Corrected Type I Arnold Chiari Malformation
Anesth. Analg., July 1, 2003; 97(1): 253 - 255.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. D. W. Greenlee, K. A. Donovan, D. M. Hasan, and A. H. Menezes
Chiari I Malformation in the Very Young Child: The Spectrum of Presentations and Experience in 31 Children Under Age 6 Years
Pediatrics, December 1, 2002; 110(6): 1212 - 1219.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
P. P. Sun, J. Harrop, L. N. Sutton, and D. Younkin
Complete Spontaneous Resolution of Childhood Chiari I Malformation and Associated Syringomyelia
Pediatrics, January 1, 2001; 107(1): 182 - 184.
[Abstract] [Full Text]

Home page
 Canadian J. AnesthesiaHome page
D. Williams, H Umedaly, I. Martin, and A Boulton
Chiari type I malformation and postoperative respiratory failure
Can J Anesth, December 1, 2000; 47(12): 1220 - 1223.
[Abstract]