Development of symptomatic chiari malformation in a child with craniofacial dysmorphism

David M. Frim, Dwight Jones, Liliana Goumnerova

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


We present the case of a 28-month-old child with craniofacial anomalies who presented for evaluation of apnea. The patient had associated symptoms referable to a Chiari malformation and MR1 scanning of the head and cervical spine revealed some, but not all. of the anatomical features classically associated with the Chiari II malformation. The child has mid-face hypoplasia and it appeared that his posterior fossa hypertension was partially caused by anterior compression of the brain stem as a result of the malformation at the base of the skull. The patient responded dramatically to posterior fossa decompression. Evidence from this and other cases from the literature suggests that different pathophysiological mechanisms may cause the classic Chiari malformation and/or other anatomical abnormalities in the continuum between Chiari I and II.

Original languageEnglish (US)
Pages (from-to)228-231
Number of pages4
JournalPediatric Neurosurgery
Issue number4-5
StatePublished - 1990
Externally publishedYes


  • Chiari malformation
  • Craniofacial dysmorphism

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology


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