Res Vestib Sci.  2023 Dec;22(4):132-136. 10.21790/rvs.2023.22.4.132.

Arnold-Chiari Malformation Presented with Spontaneous Down-Beating Nystagmus and Gait Disturbance

Affiliations
  • 1Department of Otorhinolaryngology-Head & Neck Surgery, Catholic Kwandong University International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea

Abstract

Arnold Chiari malformation is a disease which is characterized by herniation of a portion of the cerebellum through the foramen magnum. Symptoms vary depending on the extent of the affected area, including posterior neck pain, upper limb pain, paralysis, paresthesia, weakness, dizziness, and ataxia. Among the patients presenting with dizziness, nystagmus is frequently observed, which is primarily characterized by down-beating nystagmus. We experienced a 42- years-old female patient presented with vertigo and gait disturbance, who were diagnosed with type 1 Arnold-Chiari malformation and treated by surgical decompression.

Keyword

Nystagmus; Arnold-Chiari malformation; Ataxia; 안진; 아놀드-키아리 기형; 실조
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