Esophageal dysphagia as the sole symptom in type I Chiari malformation
Open accessAbstract
Chiari malformation, also called Arnold-Chiari deformities, are rare hindbrain herniations that may present in children or adults. The most common symptoms include headache, syncope, disordered eye movement, sensory loss, weakness, and cerebellar features such as ataxia. Dysphagia occurs in 5-15% of patients, although only a few reports describe dysphagia as the only presenting symptom. We report a case of a 27-year-old woman who presented with a three-year history of dysphagia, chest pain, and weight loss. Esophageal manometrics revealed markedly disordered esophageal motility and gastroesophageal reflux. Her symptoms failed to respond to high doses of omeprazole, prokinetics, and eventually surgical fundoplication. The subsequent onset of neurological symptoms led to the diagnosis of Chiari type I malformation. Following posterior craniotomy with decompression, her dysphagia and chest discomfort completely resolved. Repeat esophageal manometrics revealed complete resolution of prior abnormalities.
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Structural compression of the brainstem and lower cranial nerves, including in Arnold-Chiari malformation, can cause neurogenic dysphagia.
“Structural compression of the brainstem and lower cranial nerves, including in Arnold–Chiari malformation, can also cause neurogenic dysphagia (Elta et al., 1996).”
From Autonomic nervous system and gastrointestinal manifestations with an emphasis on gastric dysfunction (2026) · cites this paper as Elta et al., 1996
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References 12 · Cited by 19
Research works printed but not linked: 1
- Paul KS, Lye RH, Strang FA, Dutton J: Arnold-Chiari malfor- marion--review of 71 cases. J Neurosurg 58:183-187, 1983
- Authors
- Elta, G. H., Caldwell, C. A., & Nostrant, T. T.
- Affiliations
- University of Michigan (US)
- Venue
- Digestive Diseases and Sciences
- Published
- 1996-03
- Volume
- 41
- Issue
- 3
- Pages
- 512-515
- ISSN
- 0163-2116 (ISSN-L)
- 1573-2568
- OpenAlex
- W2160845792
- Cited by
- 19
- References
- 12
- Citations by year
- 2026: 1 · 2024: 2 · 2021: 1 · 2020: 1 · 2018: 2 · 2017: 1 · 2015: 1 · 2012: 2
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Digestive Diseases and Sciences (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Spinal Dysraphism and Malformations
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
- Keywords
- Chiari I malformation, esophageal dysphagia, esophageal motility disorders, gastroesophageal reflux, esophageal manometry, fundoplication, posterior fossa decompression, atypical presentation, weight loss, chest pain
- MeSH terms
- Adult, Arnold-Chiari Malformation, Chronic Disease, Deglutition Disorders, Diagnosis, Differential, Esophagus, Female, Humans, Manometry, Recurrence, Fundoplication
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