Resolution of neurogenic arterial hypertension after suboccipital decompression for Chiari malformation - Case report

Naderi S., Acar F., Acar G., Men S.

JOURNAL OF NEUROSURGERY, vol.102, no.6, pp.1147-1150, 2005 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 102 Issue: 6
  • Publication Date: 2005
  • Doi Number: 10.3171/jns.2005.102.6.1147
  • Journal Name: JOURNAL OF NEUROSURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1147-1150
  • Keywords: arterial hypertension, Chiari malformation, suboccipital decompression, BRAIN-STEM COMPRESSION, MICROVASCULAR DECOMPRESSION, NEUROVASCULAR COMPRESSION, SURGICAL-TREATMENT, I MALFORMATIONS, ADULT PATIENTS, CRANIAL NERVE, ETIOLOGY, VELOCITY, CONTACT
  • Dokuz Eylül University Affiliated: No

Abstract

A Chiari malformation Type I may remain asymptomatic until the patient has reached adulthood and acute presentation of symptoms occurs. In several clinical and experimental studies it has been shown that essential hypertension is associated with vascular compression of the brainstem, particularly of the rostral ventrolateral medulla oblongata. Nevertheless, two cases of Chiari malformation and neurogenic arterial hypertension have been reported. In this article the authors describe a patient with Chiari malformation Type I and neurogenic arterial hypertension. A simple suboccipital decompression not only provided neurological improvement, but also led to resolution of the hypertension.