Journal of Pediatric Neurology
DOI: 10.1055/s-0040-1718378
Case Report

Movement Disorder as Unusual Manifestation of Chiari Malformation Type II in a Newborn

1  Department of Neurosurgery, Niguarda Ca'Granda Hospital, Milan, Italy
2  Department of Human Neurosciences, Neurosurgery, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy
,
Roberto Mai
3  Department of Neurology, Niguarda Ca'Granda Hospital, Milan, Italy
,
Marco Cenzato
1  Department of Neurosurgery, Niguarda Ca'Granda Hospital, Milan, Italy
,
Giuseppe D'Aliberti
1  Department of Neurosurgery, Niguarda Ca'Granda Hospital, Milan, Italy
,
Giuseppe Talamonti
1  Department of Neurosurgery, Niguarda Ca'Granda Hospital, Milan, Italy
› Author Affiliations

Abstract

Chiari malformation type II (CM-II) is a hindbrain developmental malformation. Movement disorders are rarely described as associated with this condition. We describe the case of a newborn affected by CM-II presenting with head and neck tremors a few days after myelomeningocele repair surgery. Later, self-resolving episodes of expiratory apneas arose. Cranial ultrasounds showed progressive ventricular dilatation. She underwent ventriculoperitoneal shunt followed by craniocervical bony decompression. After surgery, both apnea and tremors disappeared. This particular presentation of CM-II is very rare and potentially difficult to diagnose.



Publication History

Received: 07 July 2020

Accepted: 21 August 2020

Publication Date:
09 October 2020 (online)

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