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A case of sleep-disordered breathing presenting with increased intracranial pressure in a child with type 1 Chiari
Yarelis Machin1, Debbie Suzana Morales1, Katiana Garagozlo2
1American University of the Caribbean School of Medicine, Cupecoy, St. Maarten.
Insights
Sleep-disordered breathing, including central and obstructive sleep apnea, can worsen intracranial pressure in children with Chiari malformation type 1. Early recognition of these respiratory issues is crucial for managing this condition.
Area of Science:
- Neurology
- Pediatrics
- Sleep Medicine
Background:
- Chiari malformation type 1 involves cerebellar tonsil herniation through the foramen magnum.
- Sleep-disordered breathing (SDB), encompassing central and obstructive sleep apneas, is a known association with Chiari malformation type 1.
- Increased intracranial pressure (ICP) is a potential complication in these patients.
Abstract:
Sleep-disordered breathing, with both central and obstructive sleep apneas, has been reported in association with Chiari malformation type 1. Chiari malformation type 1 is a congenital or acquired herniation of the cerebellar tonsils through the foramen magnum. In this case, a 5-year-old girl with a history of Chiari malformation type 1 and syringomyelia experienced worsening intracranial pressure secondary to sleep-disordered breathing. This case highlights the importance of early recognition of sleep-related respiratory disorders in patients with Chiari malformation and its association with increased intracranial pressure.
Citation:
Machin Y, Morales DS, Garagozlo K, Graw-Panzer K. A case of sleep-disordered breathing presenting with increased intracranial pressure in a child with type 1 Chiari malformation. J Clin Sleep Med. 2025;21(1):215-217.
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