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American Journal of Medical Case Reports. 2016, 4(4), 140-143
DOI: 10.12691/AJMCR-4-4-8
Case Report

Unexpected Brain Death in a 20-year-old Man with Chiari Type I Malformation after Trauma: Case Report and Review of Literature

Iskender KARA1, , Fatma YILDIRIM2, Hamit KÜÇÜK3 and İsmail KATI4

1Department of Anesthesiology and Reanimation, Intensive Care Training Program, Gazi University Faculty of Medicine, Ankara, TURKEY

2Department of Pulmonology, Intensive Care Training Program, Gazi University Faculty of Medicine, Ankara, TURKEY

3Department of Internal Medicine, Gazi University Faculty of Medicine, Ankara, TURKEY

4Department of Anesthesiology and Reanimation, Intensive Care Unit, Gazi University Faculty of Medicine, Ankara, TURKEY

Pub. Date: April 29, 2016
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Cite this paper

Iskender KARA, Fatma YILDIRIM, Hamit KÜÇÜK and İsmail KATI. Unexpected Brain Death in a 20-year-old Man with Chiari Type I Malformation after Trauma: Case Report and Review of Literature. American Journal of Medical Case Reports. 2016; 4(4):140-143. doi: 10.12691/AJMCR-4-4-8

Abstract

The Chiari I malformation is a congenital anomaly of unknown origin consisting of caudal displacement of the cerebellar tonsils protruding through the foramen magnum, whereas the brainstem and fourth ventricle remain in the cranial vault. We present a case of a sudden brain death of a 20-year-old adult man with trauma who subsequently was found to have a previously undiagnosed Chiari I malformation.

Keywords

Chiari I malformation, brain death, trauma

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Chiapparini L, Saletti V, Solero CL, Bruzzone MG, Valentini LG. Neuroradiological diagnosis of Chiari malformations. NeurolSci 2011: 32 (3):283-286.
 
[2]  Vannemreddy P, Nourbakhsh A, Willis B, Guthikonda B. Congenital Chiari malformations. NeurolIndia. 2010: 58(1):6-14.
 
[3]  Milhorat TH, Chou MW, Trinidad EM, Kula RW, Mandell M, Wolpert C, Speer MC. Chiari I Malformation Redefined: Clinica and Radiographic Findings for 364 Symptomatic Patients. Neurosurgery. 1999;44(5):1005-17.
 
[4]  Dones J, Jesus OD, Colen CB, Toledo MM, Delgado M. Clinical Outcomes in Patients with Chiari I Malformation: A Review of 27 Cases. Surg Neurol 2003: 60:142-148.
 
[5]  Işık N. Syringomyelia and Chiari malformation. Turk Neurosurg 2013: 23(2):185-194.
 
[6]  Milhorat TH, Nishikawa M, Kula RW, Dlugacz YD. Mechanisms of cerebellar tonsil herniation in patients with Chiari malformations as guide to clinical management. Acta Neurochir 2010: 152:1117-27.
 
[7]  Loukas M, Shayota BJ, Oelhafen K, Miller JH, Chern JJ, Tubbs RS, Oakes WJ. Associated disorders of Chiari Type I malformations: a review. Neurosurg Focus 2011; 31(3):E3.
 
[8]  Yassari R, Frim D. Evaluation and management of the Chiari malformation type 1 for the primary care pediatrician. Pediatr Clin N Am 2004: 51: 477-490.
 
[9]  Karavelioğlu E, Eser O, Boyacı MG, Çelik B. Arnold-Chiari malformation: Case Discussion with literature. General Medical Journal 2011: 21(1):29-34.
 
[10]  Roohi F, Gropen T, Kula RW. Sudden unexpected nocturnal death in Chiari type 1 malformation and potential role of opioid analgesics. Surgical Neurology International 2014; 5:17.
 
[11]  Aitken LA, Lindan CE, Sidney S, Gupta N, Barkovich AJ, Sorel M, Wu YW. Chiari Type I Malformation in a Pediatric Population. Pediatr Neurol 2009: 40:449-454.
 
[12]  Stephany JD, Garavaglia JC, Pearl GS. Sudden Death in a 27-Year-Old Man With Chiari I Malformation. Am J Forensic Med Pathol 2008: 29: 249-250.
 
[13]  Küçük A, Yüce HH, Aydoğan H, Karahan MA, Yalçın Ş, Vural M. Anesthesia management for pregnant patient with Arnold-Chiarimal formation type I: A case report. Dicle Tıp Dergisi 2012: 39(2):302-305
 
[14]  James DS. Significance of chronic tonsillar herniation in sudden death. Forensic Science International. 1995: 75: 217-223.
 
[15]  Ziegler DK, Mallonee W. Chiari-1 Malformation, Migraine and Sudden Death. Headache 1999: 39:38-41.
 
[16]  Murano T, Rella J. Incidental Finding of Chiari 1 Malformation With Progression of Symptoms After Head Trauma: Case Report. The Journal of Emergency Medicine, 2006: 30(3):295-298.