Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4111423 | International Journal of Pediatric Otorhinolaryngology | 2016 | 5 Pages |
Abstract
Chronic aspiration poses a major health risk to the pediatric population. We describe four cases in which work up for chronic aspiration with a brain MRI revealed a Chiari I malformation, a poorly described etiology of pediatric aspiration. All patients had at least one non-specific neurologic symptom but had swallow studies more characteristic of an anatomic than a neurologic etiology. Patients were referred to neurosurgery and underwent posterior fossa decompression with symptom improvement. A high index of suspicion for Chiari malformation should be maintained when the standard work up for aspiration is non-diagnostic, particularly when non-specific neurologic symptoms are present.
Keywords
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Authors
Jennifer C. Fuller, Sumi Sinha, Paul A. Caruso, Cheryl J. Hersh, William E. Butler, Kalpathy S. Krishnamoorthy, Christopher J. Hartnick,