Arnold — Chiari type II malformation (clinical case)
Year: 2022, volume 18 Issue: №2 Pages: 240-244
Heading: Pediatrics Article type: Case report
Authors: Nechaev V.N., Chernenkov Yu.V.
Organization: Saratov State Medical University
Heading: Pediatrics Article type: Case report
Authors: Nechaev V.N., Chernenkov Yu.V.
Organization: Saratov State Medical University
Summary:
Using the example of Arnold — Chiari syndrome type II, the difficulties arising in the early diagnosis of this congenital pathology and further tactics of newborn management and surgical correction of the defect are demonstrated. In the presented clinical case, during prenatal ultrasound diagnostics, it was possible to identify a severe malformation of the central nervous system — Chiari malformation — at an early stage. The parents' refusal to terminate the pregnancy and its prolongation ended with delivery by caesarean section. In the postnatal period, the diagnosis of congenital Arnold — Chiari syndrome type II was confirmed, symptomatic treatment was performed and the child was referred for neurosurgical correction, which is the only method to avoid death and severe disability. It should be noted that the forecast for a full and high-quality life remains very dubious due to the high probability of a child's disability.
Keywords: Chiari malformation type II
Bibliography:
1. Baibarina NE. Selected clinical recommendations for neonatology. Moscow: GEOTAR-Media, 2016; 189 p.
2. Ando К, Ishikura R, Ogawa М, et al. MRI tight posterior fossa sign for prenatal diagnosis of Chiari type II malformation. Neuroradiology 2017; 49 (12): 1033-9.
3. Chapman T, Mahalingam S, Ishak GE, et al. Diagnostic imaging of posterior fossa anomalies in the fetus and neonate: part II, posterior fossa disorders. Clin Imaging 2017; 39 (2): 167-75.
4. Tubbs RS, Oakes WJ. Treatment and management of the Chiari II malformation: an evidence-based review of the literature. Childs Nerv Syst 2004; 20 (6): 375-81.
5. Gomella TL, ed. Neonatology (volume 2). Moscow: Binom: Laboratory of Knowledge, 2015; 373 p.
6. Aylamazyana ЕК, Baranova VS, eds. Prenatal diagnosis of hereditary and congenital diseases. Moscow: Triada-X, 2012; p. 11-148.
7. Chernenkov YuV, Nechaev VN. Diagnostic, preventive measures and correction of congenital malformation. Saratov Journal of Medical Scientific Research 2009; 5 (3): 379-83.
8. Barashnev Yl, Baharev VA, Novikov PV. Diagnosis and treatment of congenital and hereditary diseases in children. Moscow: Triada-X, 2014: p. 12-87.
9. Bochkov NP Hereditary Diseases: National guidelines. Moscow: GEOTAR-Media, 2012; 128-45.
10. Shabalov NP Neonatology. St. Petersburg: Special Books, 2020; p. 26-65.
11. Volodin Nl, ed. Neonatology: National guidelines. Moscow: GEOTAR-Media, 2019; p. 32-47.
12. Avdeeva RA, Starykh EF, Prokoptseva NL, Neiman EG. Pathology in newborns. Rostov-on-Don: Phoenix; Krasnoyarsk: Publishing Projects, 2017; 208 p.
13. Shabalov NP, Tsvelev YuV, eds. Fundamental of Perinatology. Moscow: MEDpressinform, 2012; p. 24-158.
14. Gusev El, Konovalov AN, Skvortsova VI. Neurology and neurosurgery. Moscow: GEOTAR-Media, 2010; 624 p.
15. Chernenkov YuV, Nechaev VN, Katkova EV Fetal and newborn anomalies. In: Topical issues of neonatology. Saratov: Publishing House of Saratov State Medical University, 2017: p. 93-100.
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