Chiari I malformation with neurogenic hypertension after suboccipital decompression.
Chiari malformation
Neurogenic hypertension
Suboccipital decompression
Ventrolateral medulla
Journal
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
ISSN: 1433-0350
Titre abrégé: Childs Nerv Syst
Pays: Germany
ID NLM: 8503227
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
15
04
2020
accepted:
08
05
2020
pubmed:
22
5
2020
medline:
25
6
2021
entrez:
22
5
2020
Statut:
ppublish
Résumé
Patients with Chiari I malformations have a spectrum of symptoms related to craniocervical structural compression. Neurogenic hypertension has been reported in some patients with this disorder, with resolution of hypertension after suboccipital decompressions in some cases. The pathophysiology of neurogenic hypertension in these patients is thought to be related to ventrolateral medullary compression. The important role of the ventrolateral medulla in blood pressure control has been studied extensively. In this report, we present the case of a pediatric patient diagnosed with a Chiari I malformation who developed hypertension after a suboccipital decompression. We believe that this case demonstrates the important role of the ventrolateral medulla in neurogenic hypertension.
Identifiants
pubmed: 32435888
doi: 10.1007/s00381-020-04670-y
pii: 10.1007/s00381-020-04670-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
659-663Références
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