Chiari malformations: An important cause of pediatric aspiration

Jennifer C. Fuller, Sumi Sinha, Paul A. Caruso, Cheryl J. Hersh, William E. Butler, Kalpathy S. Krishnamoorthy, Christopher J. Hartnick

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Chronic aspiration poses a major health risk to the pediatric population. We describe four cases in which work up for chronic aspiration with a brain MRI revealed a Chiari I malformation, a poorly described etiology of pediatric aspiration. All patients had at least one non-specific neurologic symptom but had swallow studies more characteristic of an anatomic than a neurologic etiology. Patients were referred to neurosurgery and underwent posterior fossa decompression with symptom improvement. A high index of suspicion for Chiari malformation should be maintained when the standard work up for aspiration is non-diagnostic, particularly when non-specific neurologic symptoms are present.

Original languageEnglish (US)
Pages (from-to)124-128
Number of pages5
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume88
DOIs
StatePublished - Sep 1 2016

Keywords

  • Chiari malformation
  • Chronic aspiration
  • Pediatric

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