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Chiari I malformation with neurogenic hypertension after suboccipital decompression.
Child's Nervous System ( IF 1.4 ) Pub Date : 2020-05-20 , DOI: 10.1007/s00381-020-04670-y
Abdulelah A Alluhaybi 1, 2 , Sarah Bin Abdulqader 1 , Turki Alanazi 1 , Khalid Altuhayni 1 , Ayman Albanyan 1
Affiliation  

Patients with Chiari I malformations have a spectrum of symptoms related to craniocervical structural compression. Neurogenic hypertension has been reported in some patients with this disorder, with resolution of hypertension after suboccipital decompressions in some cases. The pathophysiology of neurogenic hypertension in these patients is thought to be related to ventrolateral medullary compression. The important role of the ventrolateral medulla in blood pressure control has been studied extensively. In this report, we present the case of a pediatric patient diagnosed with a Chiari I malformation who developed hypertension after a suboccipital decompression. We believe that this case demonstrates the important role of the ventrolateral medulla in neurogenic hypertension.

中文翻译:

枕下减压后Chiari I畸形伴神经源性高血压。

Chiari I畸形的患者有一系列与颅颈结构受压有关的症状。据报道,在某些患有这种疾病的患者中存在神经性高血压,在某些情况下枕下减压后高血压得以缓解。这些患者的神经源性高血压的病理生理学被认为与腹侧延髓压迫有关。腹侧延髓在控制血压中的重要作用已被广泛研究。在本报告中,我们介绍了一例诊断为Chiari I畸形的小儿患者的病例,该患者在枕下下减压后出现了高血压。我们认为,这种情况证明了腹侧延髓在神经性高血压中的重要作用。
更新日期:2020-05-20
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