An unusual cause of neck pain: acquired Chiari malformation leading to brainstem herniation and death.
The Journal of emergency medicine | 11 Jan 2011
A Graham, JE Davis, AJ Gouvernayre and JA Thomas
Chiari malformations are structural defects in which portions of the cerebellum are located below the foramen magnum. Of the four types of Chiari malformation, emergency physicians are most likely to encounter Type I (Chiari I). Chiari I malformations may be congenital or acquired. Congenital Chiari I malformations are most frequently encountered in the emergency department (ED) setting due to an exacerbation of subacute or chronic Chiari-related symptoms. However, acute Chiari-associated symptoms from an occult congenital or a secondary (acquired) Chiari malformation may occur.
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