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  • Title: Chiari Type I malformation and upper airway obstruction in adolescents.
    Author: Wynn R, Goldsmith AJ.
    Journal: Int J Pediatr Otorhinolaryngol; 2004 May; 68(5):607-11. PubMed ID: 15081238.
    Abstract:
    Chiari Type I malformation is characterized by cerebellar tonsil herniation through the foramen magnum. Manifestations may include new-onset upper airway obstruction. We describe two patients who had bilateral vocal cord paralysis and Chiari Type I malformation. These cases highlight the importance of suspecting a neurologic abnormality such as Chiari malformation in new-onset upper airway obstruction and/or bilateral vocal cord paralysis in adolescents in the absence of an obstructive lesion, though the development of cranial neuropathies or radiographic evidence may be delayed. Establishing a proper diagnosis is critical as Chiari I malformation can be treated with neurosurgical decompression, with possible improvement.
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