Scoliosis in a child with Chiari I malformation and the absence of syringomyelia: case report and a review of the literature

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
R Shane TubbsW Jerry Oakes

Abstract

Scoliosis is a common finding in children with Chiari I malformation and syringomyelia. The development of scoliosis associated with a Chiari malformation typically has been ascribed to the presence of syringomyelia. Decompression of the hindbrain hernia will often alleviate the syringomyelia and, in many cases, stabilize or reverse the scoliosis. We report a child with Chiari I malformation and scoliosis who presented with Valsalva-induced headache/neck pain. MRI revealed no syringomyelia or hydrocephalus. Radiographs revealed that her scoliotic curvature was approximately 13 degrees and was a single levoscoliotic curve. This patient underwent a posterior fossa decompression with duraplasty for her Valsalva-induced pain. Postoperatively, she had resolution of her pain and there has been no progression of her scoliosis at 3 years follow-up. Intriguingly, and scattered throughout the medical literature, many have noted cases of scoliosis in patients with only a Chiari I malformation and no syringomyelia. Moreover, experimental studies have induced scoliosis in animals after compression of the dorsal columns. After a review of the medical literature regarding a potential cause and effect of herniated hindbrain-induced scoliosis i...Continue Reading

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Citations

Jul 20, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·R Shane TubbsW Jerry Oakes
Oct 5, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Todd HankinsonJohn C Wellons
Mar 15, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jingming XieNing Lu
Mar 3, 2011·Journal of Neurosurgery. Pediatrics·R Shane TubbsW Jerry Oakes
Sep 3, 2011·Journal of Neurosurgery. Pediatrics·Robert E Ayer, Alexander Zouros
May 20, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J GodzikD D Limbrick
Jan 1, 2014·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroshi KurokiNaoya Tajima
Aug 7, 2007·Neurosurgery Clinics of North America·Todd C HankinsonDouglas Brockmeyer
Sep 1, 2015·Journal of Neurosurgery. Pediatrics·Benjamin C KennedyRichard C E Anderson
Jun 2, 2015·Journal of Neurosurgery. Pediatrics·Jennifer StrahleCormac O Maher
Oct 5, 2010·Pediatric Clinics of North America·Adrian D Sandler
Jul 1, 2017·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·A V SanakoevaYu V Kushel'
Aug 10, 2010·Population Research and Policy Review·Kanako Ishida
Jun 13, 2009·Acta Neurologica Scandinavica·M TisellM Linde
Nov 5, 2008·Neurosurgery·Michael J WanCharles H Tator
Sep 2, 2019·Journal of Neurosurgery. Pediatrics·Samuel G McClugage, W Jerry Oakes
May 28, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·David S HershFrederick A Boop
Mar 6, 2017·Journal of Neurology, Neurosurgery, and Psychiatry·Shifu ShaZezhang Zhu
Mar 1, 2014·Spine Deformity·Mehmet B BalioğluAytaç Akbaşak
Jan 8, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Yong HanHangzhou Wang
Apr 2, 2021·Spine Deformity·V Vazquez RodriguezM A Noel

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