2014, Número 3
Disfagia orofaringea asociada con malformación de Chiari tipo I y siringomielia
Cortés-Medina JC, Cárdenas-Lara A, Guerrero-Rascón CA, Rodríguez-Bautista H
Idioma: Español
Referencias bibliográficas: 32
Paginas: 309-315
Archivo PDF: 677.53 Kb.
RESUMEN
Antecedentes: la disfagia con afección neurológica constituye un dato
clínico significativo en el diagnóstico de lesiones que justifiquen la
compresión del tronco cerebral y los nervios craneales bajos.
Objetivo: destacar la importancia del estudio de la disfagia en una paciente
con malformación de Chiari tipo I y siringomielia, sin síntomas
gastroenterológicos primarios.
Caso clínico: se comunica el caso de una mujer de 62 años de edad
con disfagia orofaríngea de seis años de evolución, cervicobraquialgia,
ptosis palpebral y diplejía facial.
Conclusiones: el estudio por resonancia magnética constituye un elemento
fundamental para establecer el diagnóstico causal de la disfagia
neurogénica.
REFERENCIAS (EN ESTE ARTÍCULO)
Olszewski J. Causes, diagnosis and treatment of neurogenic dysphagia as an interdisciplinary clinical problema. Otolaryngol Pol 2006;60:491-500.
Buchholz DW. Dysphagia associated with neurological disorders. Acta Otorhinolaryngol Belg 1994;48:143-155.
Pollack IF, Pang D, Kocoshis S, Putnam P. Neurogenic dysphagia resulting from Chiari malformations. Neurosurgery 1992;30:709-719.
Daniels L. Pruebas funcionales musculares, técnicas manuales de exploración. 3ª ed. México: Interamericana; 1973:6-9.
Chen MYM, Peele VN, Donalti D, Ott DJ, et al. Clinical and videofluoroscopic evaluation of swallowing in 41 patients with neurologic disease. Gastrointest Radiol 1992;17:95- 98.
Brooks FP. Movements and muscular activity in the gastrointestinal system. In: West JB, editor. Best and Taylor’s Physiologic Basis of Medical Practice. 11th edition. Baltimore: Williams & Wilkins; 1985:642-648.
Achiron A, Kuritzky A. Dysphagia as the sole manifestation of adult type I Arnold-Chiari malformation. Neurology 1990;40:186-187.
Chiari H. Über Veränderungen des Kleinhirns infolge von Hydrocephalie des Grosshirns. Deutsch Medizinische Wocherschrift 1891;17:1172-1175.
Hadley DM. The Chiari malformations. J Neurol Neurosurg Psychiatry 2002;72(Suppl 2):38-40.
Dones J, De Jesús O, Colen CB, Toledo MM, Delgado M. Clinical outcomes in patients with Chiari I malformation: a review of 27 cases. Surg Neurol 2003;60:142-147.
Dyste GN, Menezes AH, VanGilder JC. Symptomatic Chiari malformations. An analysis of presentation, management, and long-term outcome. J Neurosurg 1989;71:159-168.
Oldfield EH, Muraszko K, Shawker TH, Patronas NJ. Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils. Implications for diagnosis and treatment. J Neurosurg 1994;80:3-15.
Milhorat T, Chou M, Trinidad E, Kula RW, et al. Chiari I Malformation redefined: clinical and radiographic findings for 364 symptomatic patients. Neurosurgery 1999;44:1005- 1017.
Guinto-Balanzar G, Zamorano-Bórquez C, Domínguez-Cortinas F, Aréchiga-Ramos NC, Abdo-Toro MA. Amigdalopexia cerebelosa en el manejo de la malformación de Chiari de tipo I. Gac Méd Méx 2007;143:115-122.
Sieben RL, Hamida MB, Shulman K. Multiple cranial nerve deficits associated with the Arnold-Chiari malformation. Neurology 1971;21:673-681. 315 Cortés-Medina JC y colaboradores. Disfagia orofaringea asociada con malformación de Chiari
Eisenstat DD, Bernstein M, Fleming JF, Vanderlinden RG, Schutz H. Chiari malformation in adults: a review of 40 cases. Can J Neurol Sci 1986;13:221-228.
Gilbert JN, Jones KL, Rorke LB, Chernoff GF, James HE. Central nervous system anomalies associated with meningomyelocele, hydrocephalus, and the Arnold-Chiari Malformation: Reappraisal of theories regarding the pathogenesis of posterior neural tube closure defects. Neurosurgery 1986;18:559-564.
Cortés-Medina JC, Guerrero-Rascón CA. Presentación clínica atípica de astrocitoma en un adulto. Cir Cir 2012;80:177-181.
Kamal SP, Lye RH, Strang FA, Dutton J. Arnold-Chiari malformation. Review of 71 cases. J Neurosurg 1983;58:183-187.
Levy WJ, Mason L, Hahn JF. Chiari Malformation presenting in adults: A surgical experience in 127 cases. Neurosurgery 1983;12:377-390.
Leder SB. Videofluoroscopic evaluation of aspiration with visual examination of the gag reflex and velar movement. Dysphagia 1997;12:21-23.
Daniels SK, Ballo LA, Mahoney MC, Foundas A. Clinical predictors of dysphagia and aspiration risk: Outcome measures in acute stroke patients. Arch Phys Med Rehabil 2000;81:1030-1033.
Guillamo JS, Monjour A, Taillandier L, Devaux B, et al. Brainstem gliomas in adults: prognostic factors and classification. Brain 2001;124:2528-2539.
Dyck PJ, Daube J, O’Brien P. Plasma exchange in chronic inflammatory demyelinating polyneurophaty. N Engl J Med 1986;314:461-465.
Seçil Y, Aydogdu I, Ertekin C. Peripheral facial palsy and dysfunction of the oropharynx. J Neurol Neurosurg Psychiatry 2002;72:391-393.
Pillay PK, Awad IA, Little JR, Hahn JF. Symptomatic Chiari malformation in adults: A new classification based on magnetic resonance imaging with clinical and prognostic significance. Neurosurgery 1991;28:639-645.
Badie B, Mendoza D, Batzdorf U. Posterior fossa volume and response to suboccipital decompression in patients with Chiari I malformation. Neurosurgery 1995;37:214- 218.
Nishikawa M, Sakamoto H, Hakuba A, Nakanishi N, Inoue Y. Pathogenesis of Chiari malformation: a morphometric study of the posterior cranial fossa. J Neurosurg 1997;86:40- 47.
Cook IJ, Kahrilas PJ. AGA technical review on management of oropharyngeal dysphagia. Gastroenterology 1999;116:455-478.
Munshi I, Frim D, Stine-Reyes R, Weir BKA, et al. Effects of posterior fossa decompression with and without duraplasty on Chiari malformation-associated hydromyelia. Neurosurgery 2000;46:1384-1390.
Isu T, Sasaki H, Takamura H, Kobayashi N. Foramen magnum decompression with removal of the outer layer of the dura as treatment for syryngomyelia occurring with Chiari I malformation. Neurosurgery 1993;33:845-850.
Blagodatsky MD, Larionov SN, Alexandrov YA, Velm AI. Surgical treatment of Chiari I malformations with or without syringomyelia. Acta Neurochir (Wien) 1999;41:963-968.