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Published on: February 29, 2020
Chiari type I malformation causing central apnoeas in a 4-month-old boy
Mieke J A Van den Broek1, Anne-Sophie Arbues, François Chalard
1Pediatric Neurology and Metabolic Diseases Department, Robert-Debré Hospital (Assistance Publique - Hôpitaux), University of Paris 7 Denis-Diderot, 48 Boulevard Sérurier, F-75935 Paris Cedex 19, France.
Summary
Chiari type I malformation can cause central sleep apnoeas in infants. Surgical repair resolved symptoms, highlighting its importance in infant apnoea diagnosis.
Area of Science:
- Neurology
- Pediatrics
- Sleep Medicine
Background:
- Chiari type I malformation is a rare condition.
- Apnoea, a breathing disorder during sleep, can be a symptom.
- It affects individuals across all age groups.
Observation:
- A 4-month-old infant presented with frequent central sleep apnoeas.
- Diagnostic evaluation revealed an underlying Chiari type I malformation.
- The infant experienced significant respiratory distress during sleep.
Findings:
- Surgical repair of the Chiari type I malformation was performed.
- Post-surgery, the infant showed complete resolution of apnoeic events.
- Normal respiratory parameters and psychomotor development were observed post-intervention.
Implications:
- This case highlights a very early presentation of Chiari type I malformation.
- Central sleep apnoeas in infants warrant consideration of Chiari type I malformation.
- Early diagnosis and surgical intervention can lead to favorable outcomes.
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