Acquired Chiari I malformation and syringomyelia associated with bilateral chronic subdural hematoma. Case report.

Morioka, T; Shono, T; Nishio, S; Yoshida, K; Hasuo, K; Fukui, M · J Neurosurg · 1995

case_report · Level V

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Abstract

The authors report a case of bilateral chronic subdural hematoma in a 25-year-old woman who had occipital and neck pain. Magnetic resonance imaging revealed progressive caudal descent of the cerebellar tonsils (acquired Chiari I malformation) and a large eccentric syrinx in the spinal cord from the C3-T7 levels. Spontaneous disappearance of the chronic subdural hematomas resulted in radiographic resolution of both lesions, as well as clinical improvement. Theories of syringomyelia formation, the relationship to acquired Chiari I malformation, and the implications of this case are discussed.

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