INCIDENTAL CHIARI 1 MALFORMATION - YET ANOTHER INTRA-OPERATIVE CAUSE FOR BRADYCARDIA: A CASE REPORT

Authors

  • Amrutha Bindu Nagella Department of Anesthesiology, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India. https://orcid.org/0000-0001-7564-0967
  • Soumithra Datta Department of Anesthesiology, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India.
  • Bhuvana Reddy Department of Anesthesiology, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India.
  • Adithya R Department of Anesthesiology, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India.
  • Varsha R Department of Anesthesiology, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India.
  • Prabha Parthasarathy Department of Anesthesiology, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i6.47060

Keywords:

Hiari 1 malformation, Bradycardia, Positioning under anesthesia

Abstract

Chiari 1 malformation is characterized by descent of cerebellar tonsils through the foramen magnum. Most patients are asymptomatic or may present with non-specific symptoms. We present a case of 13 years old incidentally detected to have Chiari 1 malformation and developed significant bradycardia in the intra-operative period.

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References

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Hidalgo JA, Tork CA, Varacallo M. Arnold chiari malformation. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022. Available fron: https://www.ncbi.nlm.nih.gov/books/NBK431076/ [Last accessed on 2022 May 01].

Tubbs RS, Kirkpatrick CM, Rizk E, Chern JJ, Oskouian RJ, Oakes WJ. Do the cerebellar tonsils move during flexion and extension of the neck in patients with Chiari I malformation? A radiological study with clinical implications. Childs Nerv Syst 2016;32:527-30. doi: 10.1007/ s00381-016-3014-5, PMID 26758883

Ghasemi M, Golabchi K, Shaygannejad V, Rezvani M. Is chiari malformation a cause of systemic hypertension and sinus bradycardia? A case report and literature review. J Res Med Sci 2011;16:115-8. PMID 21448394

Selmi F, Davies KG, Weeks RD. Type I chiari deformity presenting with profound sinus bradycardia: Case report and literature review. Br J Neurosurg 1995;9:543-5. doi: 10.1080/02688699550041205, PMID 7576283

Published

07-06-2023

How to Cite

Nagella, A. B., S. Datta, B. Reddy, A. R, V. R, and P. Parthasarathy. “INCIDENTAL CHIARI 1 MALFORMATION - YET ANOTHER INTRA-OPERATIVE CAUSE FOR BRADYCARDIA: A CASE REPORT”. Asian Journal of Pharmaceutical and Clinical Research, vol. 16, no. 6, June 2023, pp. 5-6, doi:10.22159/ajpcr.2023.v16i6.47060.

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Case Study(s)

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