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Chiari malformation type III with satisfactory developmental progress postrepair
  1. Vince Elic Santos Maullon1 and
  2. Benilda Sanchez-Gan2
  1. 1Department of Paediatrics, University of the Philippines - Philippine General Hospital, Manila, Philippines
  2. 2Division of Paediatric Neurology, Department of Paediatrics, University of the Philippines - Philippine General Hospital, Manila, Philippines
  1. Correspondence to Dr Vince Elic Santos Maullon; vsmaullon{at}up.edu.ph

Abstract

The authors were presented with a term female neonate with a large occipital mass, who was already being treated for neonatal pneumonia at another hospital. On assessment, apart from the mass, the patient presented with an unremarkable systemic and neurological physical examination. She underwent repair of the occipital mass, which was complicated by nosocomial ventriculitis. However, the patient was discharged well after completing antibiotic treatment. On regular outpatient follow-ups, the patient presented with a good cry, suck, and activity. There have been no reports of seizures, decrease in sensorium, aspiration episodes, stridor or any other complaints, apart from poor head and sitting control. The workup also showed profound bilateral hearing loss. Despite these complications, the patient currently exhibits good visual and social development. This is attributed to timely intervention as well as the minimal amount of herniated cerebellar tissue that the patient presented with, highlighting the individualised management and outcomes for cases of Chiari malformation type III.

  • Congenital disorders
  • Neonatal and paediatric intensive care
  • Neurosurgery

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: VESM and BSG. The following author gave final approval of the manuscript: BSG.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.