Kalra R, Bamashmous EO, Krishnan A. Chiari III malformation in a neonate.
BMJ Case Rep 2023;
16:e255677. [PMID:
38087482 PMCID:
PMC10729075 DOI:
10.1136/bcr-2023-255677]
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Abstract
Chiari malformation (CM) is a group of complex deformities of the posterior fossa and hindbrain, of which CMIII is the rarest. We report a term neonate, with an antenatal diagnosis of occipital encephalocele, who underwent resection of the encephalocele and ligation of vessels, with repair of a large scalp defect and dural reconstruction on day 4 of life. The parents of the child had been counselled for a guarded and poor prognosis on initial diagnosis. The child has had a good postoperative course without complications but suffers from cortical visual impairment and global developmental delay.
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