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Paroxysmal rage as a presenting symptom of the Chiari I malformation. Report of two cases
1Department of Pediatric Neurosurgery, Scottish Rite Children's Medical Center, Atlanta, Georgia, USA. Rogerhud@aol.com
Abstract:
Signs of meningeal irritation including occipital and cervical pain are common in symptomatic children with the Chiari I malformation. The author reports on two children with Chiari I malformations who presented with a previously undescribed symptom presumably caused by intermittent meningeal irritation: paroxysmal rages. In both cases the rages stopped after decompressive surgery. Evaluation including magnetic resonance imaging should be considered in children with new onset of paroxysmal behavioral disorders.
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