Abstract:Intraoperative neuromonitoring (IONM) has been used in neurosurgical procedures to assess patient safety and minimize risk of neurologic deficit. However, its use in decompressive surgeries of Chiari Malformation Type I (CM-I) remains a topic of debate. Here we present the case of a 5 year old female who presented with acute right lower extremity monoplegia after accidental self-induced hyperflexion of the neck while playing. Imaging revealed 15 millimeters of tonsillar ectopia with cervical and upper tho… Show more
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