Description

A patient with a Chiari I malformation may experience sleep apnea, including as its presenting symptom.


Features of Chiari type I malformation:

(1) caudal ectopia of the cerebellar tonsils through the foramen magnum

(2) compression of the brain stem, upper spinal cord and cranial nerves

(3) occipital headaches and dizziness

 

A patient with Chiari type I malformations may experience:

(1) sleep apnea

(2) nocturnal respiratory problems

 

Risk of sleep-disordered breathing:

(1) female >= 52 years of age

(2) male > 29 years of age

(3) obesity

(4) hydrocephalus


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