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

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

JOURNAL OF NEUROSURGERY, cilt.102, sa.6, ss.1147-1150, 2005 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 102 Sayı: 6
  • Basım Tarihi: 2005
  • Doi Numarası: 10.3171/jns.2005.102.6.1147
  • Dergi Adı: JOURNAL OF NEUROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1147-1150
  • Anahtar Kelimeler: 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 Üniversitesi Adresli: Hayır

Özet

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.