Arnold‐Chiari malformation type 1 as an unusual cause of acute respiratory failure: A case report

Abstract

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Coronavirus disease 2019–associated persistent cough and Chiari malformation type I resulting in acute respiratory failure: illustrative case

“…36 Although a number of conditions have been associated with acute exacerbations of symptomatology in CM-I, acute respiratory failure has been described in the literature fewer than five times and never in association with COVID-19. 19,23,24 The patient reported herein was otherwise asymptomatic until she contracted COVID-19 with constant, severe coughing fits. Several weeks later, she began waking up one to two times per night confused and gasping for breath, which worsened over the following months and progressed with additional symptoms of gait instability, blurry vision, dysphagia, and vertigo.…”

“…12,16,[20][21][22] Although SDB and other stressors have been associated with respiratory distress in CM-I, respiratory failure as the initial presentation of CM-I has seldom been described, with only 4 known cases reported in the literature. 19,23,24 To date, coronavirus disease 2019 (COVID-19) infection has numbered over 768 million cases worldwide and 6.9 million deaths primarily due to severe hypoxemia and acute respiratory distress syndrome. 25,26 Infection with COVID-19 as the inciting event in a patient with CM-I, leading to SDB and loss of the CO 2 drive to breathe during sleep, causing acute respiratory failure, has not been reported in the literature.…”

Use of Intraoperative Neuromonitoring in Surgical Treatment of Acute Presentation of Chiari I Malformation: A Case Report

“…5 Acute paresis, acute respiratory failure, sudden visual loss, and sudden truncal ataxia have been described following neck injury or trauma in the setting of CM-I. [6][7][8] Most cases in the literature show drastic improvement of acute symptomatology upon posterior fossa decompression. [6][7][8][9][10] Intraoperative neuromonitoring (IONM) is often used in spine surgeries to assess patient safety and minimize risk of deficit.…”

“…[6][7][8] Most cases in the literature show drastic improvement of acute symptomatology upon posterior fossa decompression. [6][7][8][9][10] Intraoperative neuromonitoring (IONM) is often used in spine surgeries to assess patient safety and minimize risk of deficit. [11][12][13] IONM in decompressive surgeries for CM-I have been reported, but its use remains a topic of debate.…”