어지럼증을 주소로 내원한 아놀드 키아리 기형 1예open accessA Case of Arnold Chiari Malformation Presented with Isolated Vertigo
- Other Titles
- A Case of Arnold Chiari Malformation Presented with Isolated Vertigo
- Authors
- 장연일; 유한석; 정재호; 이승환
- Issue Date
- Jun-2017
- Publisher
- 대한이비인후과학회 부산,울산,경남 지부회
- Keywords
- 아놀드 키아리 기형·현훈.; Arnold chiari malformation; Vertigo.
- Citation
- 임상이비인후과, v.28, no.1, pp.81 - 85
- Indexed
- KCI
- Journal Title
- 임상이비인후과
- Volume
- 28
- Number
- 1
- Start Page
- 81
- End Page
- 85
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/152190
- DOI
- 10.35420/jcohns.2017.28.1.81
- ISSN
- 1225-0244
- Abstract
- A type 1 Arnold-Chiari malformation is defined by herniation of cerebellar tonsil through the foramen magnum.
It is usually asymptomatic until three decades to five decades. Symptoms of type 1 Arnold-Chiari malformation are headache, lower cranial palsy, motor weakness and ataxia. However, isolated vertigo has rarely been described as a first presenting symptom of the disease. A seven-year-old boy presented with acute vertigo. A left beating horizontal nystagmus was identified, while the caloric response was normal. And other neurologic deficits were not evident. Magnetic resonance image confirmed a type 1 Arnold-Chiari malformation and decompressive surgery has been performed. After surgery, nystagmus was disappeared and subjective dizziness was improved. An isolated vertigo might be a first symptom of type 1 Arnold-Chiari malformation. We must consider the possibility of congenital malformation in the differential diagnosis of vertigo.
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