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  • Title: [Spontaneous syncope as the only sign of Arnold-Chiari type I malformations].
    Author: Martínez Soto LJ, Urculo Bareño E, Ramírez Penso R, Olasagasti V, Trinidad Paz JM.
    Journal: Neurologia; 1995 Apr; 10(4):174-7. PubMed ID: 7786546.
    Abstract:
    We present a patient suffering from spontaneous recurrent syncopes as the sole symptom of Arnold-Chiari type I malformation. The syncopes were attributed to transient compression of neural and/or vascular structures at the cranio-cervical junction by the descended cerebellar tonsils, triggered by an increase in intracranial pressure. The disappearance of symptoms after posterior fossa decompression confirmed our hypothesis.
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