Chiari I malformation with neurogenic hypertension after suboccipital decompression

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 ne...

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Published inChild's nervous system Vol. 37; no. 2; pp. 659 - 663
Main Authors Alluhaybi, Abdulelah A., Abdulqader, Sarah Bin, Alanazi, Turki, Altuhayni, Khalid, Albanyan, Ayman
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.02.2021
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Summary: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.
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ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-020-04670-y