Resolution of life‐threatening dysphagia caused by caudal occipital malformation syndrome following foramen magnum decompressive surgery

Kj, Graham; Black, AP; Brain, PH

doi:10.1111/j.1751-0813.2012.00952.x

Cited by 6 publications

(2 citation statements)

References 17 publications

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“…Authors of a case report conclude that early recognition of dysphagia and expeditious intervention are crucial for a favourable neurological outcome in clinical cases of congenital caudal occipital malformation syndrome (COMS) …”

Section: Small Animalsmentioning

confidence: 99%

In this issue – August 2012

Jackson¹,

Metzl²

2012

Aust Veterinary J

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Small animalsResults from a study of 238 coeliotomy-assisted intrauterine inseminations (CAII), performed at a specialist hospital, suggest that this technique can produce similar whelping rates to non-surgical or intravaginal insemination. 1 CAII is a relative simple artificial insemination technique that does not require specialised equipment or training. However, there is little published data on its clinical effectiveness, despite its apparent widespread use.This retrospective, single cohort, observational study reports the clinical outcomes of commercially performed CAII and the factors that affect its outcomes.In total, 174 CAIIs resulted in whelping and the authors conclude that good quality sperm is important for success. Whelping rates with CAII are not maximised unless more than 200 ¥ 10 6 progressively motile sperm are inseminated. bs_bs_banner EDITORIAL EDITORIAL

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Section: Small Animalsmentioning

confidence: 99%

In this issue – August 2012

Jackson¹,

Metzl²

2012

Aust Veterinary J

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“…Respiratory aspiration is one of the most severe manifestations of dysphagia, which can result in lung infections, undernourishment, prolonged hospital stays, and death [9]. A few reports looking at swallowing dysfunctions in CMI patients exist [10–12], and they were defined as an unexplained and atypical symptom of CMI [13]. However, the pathophysiologic mechanisms underlying dysphagia in CMI patients are still unclear.…”

Section: Introductionmentioning

confidence: 99%

Magnetic Resonance Imaging of Chiari Malformation Type I in Adult Patients with Dysphagia

Feng

Chen

et al. 2019

BioMed Research International

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Objective. To explore the magnetic resonance imaging (MRI) characteristics of Chiari malformation type I (CMI) in patients with dysphagia. Methods. Adult patients diagnosed with CMI were retrospectively and consecutively reviewed from January 2013 to December 2016. Symptoms and medical characteristics were recorded. According to the clinical manifestations, we divided the patients into two groups. The first group had 21 patients with symptoms of dysphagia and the second group had 71 patients with nondysphagia symptoms. Various length or angle measurements of the posterior cranial fossa (PCF), syringomyelia, and degree of cerebellar tonsillar herniation were investigated using magnetic resonance imaging (MRI). Univariate, correlation, and multivariate logistic regression analyses were used to compare and analyze the data of the two groups. Results. The mean length of the clivus, height of PCF, and slope inclination angle of clivus significantly decreased in the dysphagia group compared to the nondysphagia group. The mean cranial spinal angle (CSA) and degree of cerebellar tonsillar herniation were significantly larger in the dysphagia group. There were no correlations between the age, sex, disease duration, and the length of cerebellar tonsillar herniation or CSA. There was a positive correlation between dysphagia level and CSA (r=-0.50; p=0.021). Among CSA, age, sex, the degree of tonsillar herniation, syringomyelia, and disease duration, CSA was the individual sign that correlated significantly with dysphagia (OR: 1.447; 95% CI: 1.182-1.698; P<0.001). Interactions between CSA and the degree of cerebellar tonsillar herniation, syringomyelia, and dysphagia existed (OR: 1.104; 95% CI: 1.042-1.170; P=0.001 and OR: 1.081; 95% CI: 1.023-1.142; P=0.006, respectively). Conclusions. The CMI patients with dysphagia were more likely to have a large CSA on MRI compared with CMI patients without dysphagia. An increased probability with syringomyelia or length of cerebellar tonsillar herniation can enhance the contribution of CSA to dysphagia in patients with CMI.

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Chiari-like Malformation

Loughin¹

2016

Veterinary Clinics of North America: Small Animal Practice

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Resolution of life‐threatening dysphagia caused by caudal occipital malformation syndrome following foramen magnum decompressive surgery

Cited by 6 publications

References 17 publications

In this issue – August 2012

In this issue – August 2012

Magnetic Resonance Imaging of Chiari Malformation Type I in Adult Patients with Dysphagia

Chiari-like Malformation

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