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World Neurosurg. 2019 Jan;121:e296-e301. doi: 10.1016/j.wneu.2018.09.099. Epub 2018 Sep 22.

Voice Quality Affection as a Symptom of Chiari Formation.

Author information

1
Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Parel, Mumbai, India; Department of Neurosurgery, Lilavati Hospital and Research Centre, Bandra (E), Mumbai, India. Electronic address: atulgoel62@hotmail.com.
2
Department of Neurosurgery, Lilavati Hospital and Research Centre, Bandra (E), Mumbai, India.
3
Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Parel, Mumbai, India.

Abstract

OBJECTIVE:

Voice alteration as a presenting symptom in cases with Chiari formation is analyzed, as well as outcome after atlantoaxial fixation.

METHODS:

During the period January 2016 to June 2017, 25 cases of Chiari formation presented with associated or a major presenting symptom of voice or speech quality alteration related to inadequate breathing efforts. All patients underwent atlantoaxial fixation. No foramen magnum decompression was done.

RESULTS:

In all patients, the voice quality and volume and breathing disturbances improved in the immediate postoperative period after recovering from anesthesia. During the period of follow-up that ranged from 12 to 25 months, all patients continued to improve in their speech function.

CONCLUSIONS:

Such critical symptoms of voice disturbance and inadequate breathing and the possibility of rapid postoperative recovery have not been recorded earlier in the literature.

KEYWORDS:

Apnea; Atlantoaxial instability; Atlantoaxial stabilization; Breathing; Chiari formation; Speech; Syringomyelia

PMID:
30253991
DOI:
10.1016/j.wneu.2018.09.099
[Indexed for MEDLINE]

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