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Type I Chiari malformation presenting with laryngomalacia and dysphagia
Christopher Liu1, Seckin O Ulualp1,2
1Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center.
Insights
Type I Chiari malformation (CM-I) can cause infant laryngomalacia and dysphagia. Early diagnosis and treatment, like posterior fossa decompression, resolved symptoms in a 12-month-old, highlighting CM-I in pediatric airway and swallowing disorders.
Area of Science:
- Pediatric Neurology
- Otolaryngology
- Developmental Pediatrics
Background:
- Laryngomalacia and dysphagia are common infant feeding and breathing issues.
- Type I Chiari malformation (CM-I) is a congenital brain anomaly typically diagnosed later in life.
- The association between CM-I and pediatric airway/swallowing disorders is not widely recognized.
Abstract:
We describe clinical features of an infant with laryngomalacia and dysphagia caused by type I Chiari malformation (CM-I). A 12-month-old child presented with a 6 month history of progressive stridor, dysphagia, and gastroesophageal reflux. Examination of the airway and swallowing function indicated mild laryngomalacia and aspiration with all consistencies. Magnetic resonance imaging of the brain indicated CM-I. Symptoms were resolved after posterior fossa decompression. CM-I, typically diagnosed later in life, should be considered in the differential diagnosis of laryngomalacia and dysphagia. High clinical suspicion and thorough search for abnormalities ensure early diagnosis and proper management of children with neurologic variant laryngomalacia.
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